Individual
JANICE GIBSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-5174
(205) 939-9796
Mailing address
1919 7TH AVENUE SOUTH SDB BOX 58, BIRMINGHAM, AL 35294-0001
(205) 934-2340
(205) 934-7899
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3255
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935520
—
AL
05
—
009936105
—
AL
05
—
009962890
—
AL
05
—
219143
—
AL
Enumeration date
11/25/2006
Last updated
10/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us