Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS PATRICIA RENEE JACKSON
ActiveMISS PATRICIA RENEE JACKSON is a Dentist healthcare provider located in CHINLE, Arizona. NPI 1023377967 is currently active in the NPPES registry. Verify at CMS.
Dentist · CHINLE, AZ
Registration Details
- NPI Number
- 1023377967
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2012 (14.228022808169 yrs)
- Last Updated
- Oct 8, 2013
- License
-
30.023852 (OH)
Practice Information
- Address
-
191 HIGHWAY AND HOSPITAL ROADCHINLE, AZ, 86503Browse AZ providers · Browse ZIP 86503
- Phone
- 9286747166
- Fax
- 9286747705
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CHINLE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. BENJAMIN H GLICK | D.M.D. | 1063431237 |
| MR. ANDREW C. ROBINSON | D.D.S | 1114049467 |
| MS. LAURA M. CHRISTRUP | DDS | 1164646204 |
| DR. WILLIAM MCCRACKEN | D.D.S | 1033326392 |
| DR. FRANK R. OLIVAS | DDS | 1376794701 |
| DR. BRIAN SPENCER | DMD | 1811530819 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.