MEDICARE: MARCUS JACKSON DDS

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
1	122300000X	Dentist	2489-89	LA
2	1223G0001X	General Practice Dentistry	5619	LA
3	1223G0001X	General Practice Dentistry	2489-89	MS

General Provider Information

NPI Number	:	1811044845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS JACKSON DDS

Provider Business Mailing Address
First Line	:	8847 VETERANS MEMORIAL BLVD STE B
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70003-7707
Country	:	US
Telephone Number	:	504-466-2392
Fax Number	:

Provider Business Practice Location Address
First Line	:	8847 VETERANS MEMORIAL BLVD STE B
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70003-7707
Country	:	US
Telephone Number	:	504-466-2392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	02/03/2023

Similar Medicare Providers

1144069253 — DR. TIMOTHY ANDREW MIXSON DDS
Practice Location Address:

8847 VETERANS MEMORIAL BLVD
METAIRIE, LA
70003-7707

Practice Phone: 504-533-8372
Practice Fax:

1346544178 — MARCUS K. JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice Location Address:

8847 VETERANS MEMORIAL BLVD STE 8
METAIRIE, LA
70003-7707

Practice Phone: 504-466-2392
Practice Fax: 504-466-2399

1083050405 — DR. JOHN ADAMS FALLER DDS
Practice Location Address:

8847 VETERANS MEMORIAL BLVD , SUITE 8
METAIRIE, LA
70003-7707

Practice Phone: 504-230-0329
Practice Fax: 504-466-2399

1932812336 — JOVIAN S. MONETTE, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice Location Address:

8847 VETERANS MEMORIAL BLVD STE 8
METAIRIE, LA
70003-7707

Practice Phone: 504-466-2392
Practice Fax:

1780560748 — KALYN LEE KLEINPETER
Practice Location Address:

2312 DAVID DR STE C
METAIRIE, LA
70003-4504

Practice Phone: 504-435-1158
Practice Fax:

1932064029 — SHANNA MCMULLEN MSN, APRN, PMHNP-BC
Practice Location Address:

6216 RUTH ST
METAIRIE, LA
70003-4152

Practice Phone: 504-419-3761
Practice Fax:

Directions to “ MARCUS JACKSON DDS” 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 © 2007-2025 (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.