Individual provider · Type 1 NPI

Jackson Robert Booth, DDS

General Practice Dentistry · Austin, TX

NPI number 1891987368 Active

Practice location

4410 E Riverside Dr, Suite 150
Austin, TX 78741-4799

Call (512) 739-9440 Map

Fax (512) 389-9797

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X23496 (TX)
Dentist 122300000XD9554 (OR)

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.

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About NPI 1891987368

Jackson Robert Booth, DDS's National Provider Identifier is 1891987368, issued on Aug 17, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Feb 18, 2014.