DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. CRISTIN DENISE JACKSON DMD

MEDICARE: DR. CRISTIN DENISE JACKSON DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist7275LA

General Provider Information

NPI Number : 1598420788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRISTIN DENISE JACKSON DMD
Provider Business Mailing Address
First Line : 815 S PINE ST
Second Line :
City : VIVIAN
State : LA
Zip : 71082-3353
Country : US
Telephone Number : 318-375-3235
Fax Number :
Provider Business Practice Location Address
First Line : 815 S PINE ST
Second Line :
City : VIVIAN
State : LA
Zip : 71082-3314
Country : US
Telephone Number : 318-375-3235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2021
Last Update Date : 05/07/2026

Similar Medicare Providers

1326016684 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax: 318-375-5938
1013181866 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3239
Practice Fax: 318-375-2755
1417124959 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax: 318-375-5938
1962679407 — NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-3235
Practice Fax: 318-375-5938
1235708702 — VIVIAN DENTAL
Practice Location Address:
815 S PINE ST
VIVIAN, LA
71082-3314
Practice Phone: 318-375-4001
Practice Fax:
1356308860 — NEXION HEALTH AT VIVIAN, INC.
Practice Location Address:
912 S PECAN ST
VIVIAN, LA
71082-3350
Practice Phone: 318-375-2203
Practice Fax: 318-375-2866

Directions to “ DR. CRISTIN DENISE JACKSON DMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.