Jackson Dental Prof. LLC
NPI 1144394545ActiveOrganization· Dentist· Belle Fourche, SD
Dentist in Belle Fourche, South Dakota, registered in NPPES in November 2006. The authorized official on file is Christopher J. Jackson, DMD, President.
Overview
| NPI | 1144394545 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Nov 3, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | M525 | SD |
| Dentist | 122300000X | D0633 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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