Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD FREDRICK JACKSON, DD.S.
Active Sole ProprietorDR. RICHARD FREDRICK JACKSON, DD.S. is a Oral & Maxillofacial Surgery healthcare provider located in ROSEVILLE, California. NPI 1124116066 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ROSEVILLE, CA
Registration Details
- NPI Number
- 1124116066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.825132668499 yrs)
- Last Updated
- Jun 5, 2015
- License
-
24465 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1441 SECRET RAVINE PKWYSUITE 160ROSEVILLE, CA, 956616044Browse CA providers · Browse ZIP 95661
- Phone
- 9167871515
- Fax
- 9167871516
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| TANIA NELSON-CHRYSTAL | DDS, MD | 1629111901 |
| DR. DON HAN KIM | DDS, MD | 1093937179 |
| DR. GREGORY S. PLUCKHAN | D.D.S. | 1861662165 |
| DR. ALEXANDER ANTIPOV | DDS | 1750553889 |
| TIM LEE | DDS | 1336461284 |
| DR. PARSHAN NAMIRANIAN | D.D.S. | 1861796393 |
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.