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Dr. Richard Fredrick Jackson, DDS
Oral and Maxillofacial Surgery (Dentist) in Roseville, California
NPI 1124116066

Richard Fredrick Jackson is a Oral and Maxillofacial Surgery (Dentist) based in Roseville, CA and is specialized in Oral and Maxillofacial Surgery. Richard Fredrick Jackson practices in Roseville, CA and has the professional credentials of DDS. The NPI Number for Richard Fredrick Jackson is 1124116066 and holds a License No. 24465 (California).

The current practice location address for Richard Fredrick Jackson is 1441 Secret Ravine Pkwy, Roseville, CA and can be reached out via phone at 916-787-1515 and via fax at 916-787-1516.

Location: 1441 Secret Ravine Pkwy, Roseville, CA, 95661-6044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124116066
Provider Name
Richard Fredrick Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1441 Secret Ravine Pkwy, Roseville, CA, 95661-6044
Phone Number
916-787-1515
Fax Number
916-787-1516
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1441 Secret Ravine Pkwy
City
Roseville
State
California
Zip
95661-6044
Phone Number
916-787-1515
Fax Number
916-787-1516
person
Provider Business Mailing Address Details
Address
1441 Secret Ravine Pkwy
City
Roseville
State
California
Zip
95661-6044
Phone Number
916-787-1515
Fax Number
916-787-1516
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
24465 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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