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Dr. Ratrice Jackson
Pediatric Dentist in Irving, Texas
NPI 1114426830

Ratrice Jackson is a Pediatric Dentist based in Irving, TX and is specialized in Pediatric Dentistry. Ratrice Jackson practices in Irving, TX. The NPI Number for Ratrice Jackson is 1114426830 and holds a License No. (Texas).

The current practice location address for Ratrice Jackson is 1932 N Story Rd, Irving, TX and can be reached out via phone at 469-299-5437. You can also correspond with Ratrice Jackson through the mailing address at 1932 N STORY RD, IRVING, TX - 75061-1936 (mailing address contact number: 501-765-0313).

Location: 1932 N Story Rd, Irving, TX, 75061-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114426830
Provider Name
Ratrice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1932 N Story Rd, Irving, TX, 75061-1936
Phone Number
469-299-5437
Fax Number
Provider Enumeration Date
02/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1932 N Story Rd
City
Irving
State
Texas
Zip
75061-1936
Phone Number
469-299-5437
Fax Number
person
Provider Business Mailing Address Details
Address
1932 N Story Rd
City
Irving
State
Texas
Zip
75061-1936
Phone Number
469-299-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
35968 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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