Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffery Dale Hartsog, DMD

Individual provider General Practice Dentistry · NPI 1518969633

Dr. Jeffery Dale Hartsog, DMD practises General Practice Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1437 Old Square Rd
Jackson, MS 39211-5535 Not confirmed with CMS for 19 years — call before visiting
Phone: (601) 362-1685
Fax: (601) 982-9304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2079-84 (MS)

Record details

NPI number1518969633
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJuly 8, 2007

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