Individual provider · Type 1 NPI

Ralph Dudley Jackson Iii, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Alexandria, LA

NPI number 1104817154 Active

Practice location

1400 Metro Dr
Alexandria, LA 71301-3451

Fax (318) 487-0958

Mailing address

6201 Bradford Dr
Alexandria, LA 71303-2382

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X5337 (LA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104817154

Ralph Dudley Jackson Iii, DDS's National Provider Identifier is 1104817154, issued on Oct 31, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Alexandria, LA. The record was last updated on Jul 13, 2026.