Healthcare Provider Details

I. General information

NPI: 1477461465
Provider Name (Legal Business Name): NATALIE S. JACKSON, DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 NAPOLEON AVE STE 820
NEW ORLEANS LA
70115-7413
US

IV. Provider business mailing address

2633 NAPOLEON AVE STE 820
NEW ORLEANS LA
70115-7413
US

V. Phone/Fax

Practice location:
  • Phone: 504-895-3580
  • Fax: 504-891-1449
Mailing address:
  • Phone: 504-895-3580
  • Fax: 504-891-1449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. NATALIE S JACKSON
Title or Position: OWNER
Credential: DDS
Phone: 504-895-3580