Individual provider · Type 1 NPI

Richard Fredrick Jackson, DD.S.

Oral and Maxillofacial Surgery (Dentist) · Roseville, CA

NPI number 1124116066 Active

Practice location

1441 Secret Ravine Pkwy, Suite 160
Roseville, CA 95661-6044

Fax (916) 787-1516

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X24465 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1124116066

Richard Fredrick Jackson, DD.S.'s National Provider Identifier is 1124116066, issued on Oct 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Roseville, CA. The record was last updated on Jun 5, 2015.