Michael Roy Jackson, DDS

General Practice Dentistry · Ft Worth, TX

Individual Active NPI

NPI number 1083735369

Practice location

6924 South FWY
Ft Worth, TX 76134-3800
Phone
(817) 293-7431
Fax
(817) 293-3848

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NPI record

NPI
1083735369
Entity type
Individual (Type 1)
Enumeration date
April 3, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11498 TX

About Dr. Jackson

Michael Roy Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6924 South FWY, Ft Worth, TX 76134-3800. The NPI number 1083735369 was assigned on April 3, 2007 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #11498 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Roy Jackson, DDS?

The NPI number is 1083735369.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (817) 293-7431.

Where is Dr. Jackson located?

6924 South FWY, Ft Worth, TX 76134-3800.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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