Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANA M JACKSON, D.D.S.
Active Sole ProprietorDR. DANA M JACKSON, D.D.S. is a Dentist healthcare provider located in SHREVEPORT, Louisiana. NPI 1225053531 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1225053531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2006 (19.913254270339 yrs)
- Last Updated
- Apr 7, 2015
- Licenses
-
5769 (LA)019-025879 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7101 PINES RDSHREVEPORT, LA, 711293403Browse LA providers · Browse ZIP 71129
- Phone
- 3186862015
- Fax
- 3186862018
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. MONICA ANNETTE DAVENPORT | DDS | 1740224435 |
| KENNETH L BONNETTE | DDS | 1053349571 |
| DR. ERNEST LAVON NIX JR. | D.D.S. | 1568488369 |
| DR. LARRY DEE HAND | D.D.S. | 1912916156 |
| DR. MICHAEL A HENLEY | DDS | 1639260516 |
| JEFF MARTIN | DDS | 1902998164 |
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.