Richard M. Jackson Jr., DDS

General Practice Dentistry · Porter, OK

Individual Active NPI

NPI number 1801123633

Practice location

505 S Main
Porter, OK 74454

Phone: (918) 483-0012
Fax: (918) 483-4174

Open in Google Maps

NPI record

NPI: 1801123633
Entity type: Individual (Type 1)
Enumeration date: November 16, 2009
Last updated: January 5, 2012
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	5920	OK

Mailing address

PO Box 334
Porter, OK 74454-0334

Phone: (918) 483-0213
Fax: (918) 483-4174

About Dr. Jackson

Richard M. Jackson Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 505 S Main, Porter, OK 74454. The NPI number 1801123633 was assigned on November 16, 2009 and the record was last updated on January 5, 2012.

Dr. Jackson lists a license in the registry: #5920 (OK) 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 Richard M. Jackson Jr., DDS?

The NPI number is 1801123633.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (918) 483-0012.

Where is Dr. Jackson located?

505 S Main, Porter, OK 74454.

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.