Andrea Denise Jackson, DDS, MS
NPI 1578707204ActiveIndividual· Dentist, Prosthodontics· Clinton, MD
Dentist, Prosthodontics (DDS, MS) in Clinton, Maryland, licensed in DC and MD, with an NPI issued in April 2009.
Overview
| NPI | 1578707204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MS |
| Sole proprietor | Yes |
| NPI issued | Apr 24, 2009 |
| Last updated in NPPES | Apr 24, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | DN4077 | DC |
| Dentist, Prosthodontics | 1223P0700X | 08111 | MD |
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
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