Zachary Jacob Jackson
NPI 1548874274ActiveIndividual· Dentist, Endodontics· Fort Polk, LA
Dentist, Endodontics in Fort Polk, Louisiana, licensed in LA, OR and AK, with an NPI issued in September 2020.
Overview
| NPI | 1548874274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 1, 2020 |
| Last updated in NPPES | Aug 4, 2025 |
| Certified by provider | Aug 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 7727 | LA |
| Dentist | 122300000X | D11316 | OR |
| Dentist, Endodontics | 1223E0200X | 192325 | AK |
| Dentist, General Practice | 1223G0001X | 192325 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other endodontists in Fort Polk
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