Individual provider · Type 1 NPI
Richard M. Jackson Jr., DDS
General Practice Dentistry · Porter, OK
NPI number
1801123633
Active
Practice location
505 S Main
Porter, OK 74454
Fax (918) 483-4174
Mailing address
PO Box 334
Porter, OK 74454-0334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5920 (OK) |
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.
Another provider at this address
About NPI 1801123633
Richard M. Jackson Jr., DDS's National Provider Identifier is 1801123633, issued on Nov 16, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Porter, OK. The record was last updated on Jan 5, 2012.