Individual provider · Type 1 NPI

Tanisha A. Jackson, DDS

General Practice Dentistry · Irvine, CA

NPI number 1629183777 Active

Practice location

2860 Michelle, 2nd Floor
Irvine, CA 92606-1009

Call (714) 508-3600 Map

Fax (714) 368-2092

Mailing address

422 Orange St
Redlands, CA 92374-3206

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X47103 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13 other providers at this address

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About NPI 1629183777

Tanisha A. Jackson, DDS's National Provider Identifier is 1629183777, issued on Aug 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Irvine, CA. The record was last updated on Jul 8, 2007.