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

DR. TRACIE JACKSON, D.D.S.

Active Sole Proprietor

DR. TRACIE JACKSON, D.D.S. is a General Dentistry healthcare provider located in LEAGUE CITY, Texas. NPI 1982883609 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LEAGUE CITY, TX

Registration Details

NPI Number
1982883609
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2007 (18.795870881072 yrs)
Last Updated
May 30, 2019
License
22852 (TX)
Sole Proprietor
Yes

Practice Information

Address
1507 W LEAGUE CITY PKWY STE 100
LEAGUE CITY, TX, 775737340
Browse TX providers · Browse ZIP 77573
Phone
2813328400
Fax
2814766429
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in LEAGUE CITY, TX

Name Credential NPI
THANH MAI DDS 1336134337
EUGENE L. AARON D.D.S., P.A. 1699733048
DR. THOMAS ROY DOUGHERTY DDS 1578587382
BRENT E PATTERSON D.D.S. 1821012899
DR. CHARLES W CLINE DDS 1427072354
DR. CATHARINE CECILIA GOODSON DDS 1285741892
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.