Individual provider · Type 1 NPI

Amy Jackson

Orthodontics and Dentofacial Orthopedics Dentistry · San Antonio, TX

NPI number 1881754877 Active

Practice location

16789 San Pedro Ave
San Antonio, TX 78232-2349

Call (210) 988-5555 Map

Fax (210) 447-1219

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X22622 (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 1881754877

Amy Jackson's National Provider Identifier is 1881754877, issued on Dec 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Antonio, TX. The record was last updated on Sep 10, 2026.