Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACKSON ROBERT BOOTH, D.D.S.

Active

DR. JACKSON ROBERT BOOTH, D.D.S. is a General Dentistry healthcare provider located in AUSTIN, Texas. NPI 1891987368 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · AUSTIN, TX

Registration Details

NPI Number: 1891987368
Provider Type: Individual
Gender: Male
NPI Issued: Aug 17, 2007 (18.808144203081 yrs)
Last Updated: Feb 18, 2014
Licenses: 23496 (TX)

D9554 (OR)

Practice Information

Address: 4410 E RIVERSIDE DR

SUITE 150

AUSTIN, TX, 787414799
Browse TX providers · Browse ZIP 78741
Phone: 5127399440
Fax: 5123899797
Primary Specialty: General Dentistry
1223G0001X
Additional Specialty: Dentist

Other General Dentistry Providers in AUSTIN, TX

Name	Credential	NPI
DEANO A SAKOS	D.D.S.	1629072418
DR. RICHARD MARK PEPPARD	DDS	1235133950
DR. ROBERT B MEISER	D.D.S.	1265438048
DR. WILLIAM PAUL BURKHART	DDS	1497752075
DR. RONALD B CASS	DDS, FAGD	1164421996
DR. CARLA L COSTON	D.D.S.	1124027214

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.