Individual provider · Type 1 NPI
Remigius Jackson, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Austin, TX
Practice location
12101 Dessau Rd, Apt 1108
Austin, TX 78754-2073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 27911 (TX) |
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 1790045599
Remigius Jackson, DDS's National Provider Identifier is 1790045599, issued on May 25, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Austin, TX. The record was last updated on Aug 8, 2012.