Nicole L. Jackson, DDS, a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NICOLE L. JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION

Doing business as

Affordable Dentures & Implants - Hammond

Practice address

311 Palace Drive
Hammond, LA 70403

Phone

(985) 318-0876

NPI assigned

Aug 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicole Jackson, DDS

Title

Owner

Phone

(985) 318-0876

Specialties & licenses 1

Addresses

Other names 1

• Affordable Dentures & Implants - Hammond Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1649952680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PALACE DRIVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-318-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PALACE DRIVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-318-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE L. JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-318-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Hammond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marylynn Nguyen, M.D.
• Quynh The Nguyen, D.D.S
• Jameshia Nichols
• Marion Nichols
• Robert J Nicholson Jr., MD
• Thien Viet Ninh, MD
• Stacie L. Noe, DDS
• Carlton Norman I
• Elizabeth M Norman, APRN
• Jarell Orlando Norman

• General Practice Dentistry in Hammond, LA
• Providers in Hammond, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.