Individual
DR. BRIAN E JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19620
OH
332B00000X
Durable Medical Equipment & Medical Supplies
19620
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0879287
—
OH
Enumeration date
11/01/2005
Last updated
08/14/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up