DR. RATRICE JACKSON


Address: 1932 N Story Rd, Irving, TX 75061-1936
Phone: 4692995437

DR. RATRICE JACKSON (NPI# 1114426830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114426830
Entity Type Individual
Full Name DR. RATRICE JACKSON
Practice Address 1932 N Story Rd
Irving
TX 75061-1936
Practice Telephone 4692995437
Mailing Telephone 5017650313
Enumeration Date 2018-02-08
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
35968 TX Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1932 N STORY RD
City IRVING
State TX
Zip Code 75061-1936

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528359015 Rawaha Memon Dentist 1932 N Story Rd, Irving, TX 75061-1936 2011-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265925192 Health Texas Provider Network Durable Medical Equipment & Medical Supplies 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 2018-06-14
1356864722 Candace Leann Mullens Physician Assistant 2005 West Park Dr., Ste. 100, Irving, TX 75061 2017-07-18
1922489541 Azmat Shah Clinical Medical Laboratory 813 N. O'connor Road, Irving, TX 75061 2015-06-10
1689060261 James Justin Walker Specialist/Technologist 900 O'connor Road, Irving, TX 75061 2015-04-10
1790171379 Casey Elder Specialist/Technologist 900 North O'connor, Irving, TX 75061 2015-04-10
1720479900 Jack C Lewis Jr. Counselor 4120 Hackmore Loop, Irving, TX 75061 2015-02-10
1972931186 Linda Kottoor Nurse Practitioner 1800 North Britain Road, Irving, TX 75061 2013-10-24
1033457080 Edel H Cruz Rosales Hearing Instrument Specialist 613 North O'connor Rd, Suite 29, Irving, TX 75061 2013-01-26
1346520293 Tau Healing Services Counselor 1615 Cooper Dr., Irving, TX 75061 2011-08-24
1144520412 Gibson Pharmacy Pharmacy 815 N. Oconnor, Irving, TX 75061 2010-11-02
Find all providers in zip 75061

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134616634 Irving Tiny Teeth, Pllc Dentist 2450 N Belt Line Rd Ste 110, Irving, TX 75062-5124 2018-04-19
1528359015 Rawaha Memon Dentist 1932 N Story Rd, Irving, TX 75061-1936 2011-05-02
1952616179 Children's Dental Centre of Irving Dentist 8870 N Macarthur Blvd, A101, Irving, TX 75063-7833 2010-08-11
1932327376 Takanobu Fujita Dentist 3219 N Macarthur Blvd, Suite 100, Irving, TX 75062-8805 2007-04-23
1497884084 Sarita Shah Dentist 442 Southridge Way, Irving, TX 75063-4299 2007-03-02
1720127087 Carolyn Fern Wilson Dentist 3219 Macarthur, # 100, Irving, TX 75062 2007-02-05
1902961212 Robert Ernest Morgan Jr. Dentist 3219 Macarthur Blvd, Irving, TX 75062 2006-12-27
1912011776 Tina H Bui Dentist 7457 Las Colinas Blvd, Suite 101, Irving, TX 75063-7561 2006-08-18
1861866931 Abchildren's Dentistry Dentist 7457 Las Colinas Blvd, Suite 101, Irving, TX 75063-7561 2015-11-30
1427494590 Pediatric Dental Associates of Las Colinas Dentist 3000 N Macarthur Blvd, Suite D, Irving, TX 75062-4493 2013-05-16
Find all providers in IRVING

Competitor

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City IRVING
Zip Code 75061

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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