National Provider Identifier
Dewey Thomas Jackson, MD
Dewey Thomas Jackson, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Fairport, NY and a listed phone number of (585) 248-9670.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1659330108
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 22, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2828 Baird RD
- Fairport, NY 14450-1247
Phone: (585) 248-9670
Specialties
- Internal Medicine Physician (207R00000X)
Browse Similar Providers
See more Internal Medicine providers in Fairport, NY.
Biography
Dr. Dewey T. Jackson is a Fairport internist with a long Rochester-area practice history. He earned his medical degree from the University of Virginia School of Medicine, completed residency training at Rochester General Hospital, and is listed with an affiliation at Rochester General Hospital.
Full Record
- NPI
- 1659330108
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Dewey
- Middle Name
- Thomas
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 2828 Baird RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1247
- Mailing Country
- US
- Mailing Phone
- (585) 248-9670
- Mailing Fax
- (585) 248-0384
- Practice Street Address
- 2828 Baird RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1247
- Practice Country
- US
- Practice Phone
- (585) 248-9670
- Practice Fax
- (585) 248-0384
- Enumeration Date
- March 22, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 100843BJ (NY, Preferred Care), 10162610 (NY, Blue Choice)