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Dr. Tracy Leslie Jackson, DMD
General Practice Dentistry in Bradenton, Florida
NPI 1740203496

Tracy Leslie Jackson is a General Practice Dentistry based in Bradenton, FL and is specialized in General Practice. Tracy Leslie Jackson practices in Bradenton, FL and has the professional credentials of DMD. The NPI Number for Tracy Leslie Jackson is 1740203496 and holds a License No. DN0013214 (Florida).

The current practice location address for Tracy Leslie Jackson is 1731 Manatee Ave E, Bradenton, FL and can be reached out via phone at 941-749-5512 and via fax at 941-749-5826.

Location: 1731 Manatee Ave E, Bradenton, FL, 34208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740203496
Provider Name
Tracy Leslie Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1731 Manatee Ave E, Bradenton, FL, 34208
Phone Number
941-749-5512
Fax Number
941-749-5826
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1731 Manatee Ave E
City
Bradenton
State
Florida
Zip
34208
Phone Number
941-749-5512
Fax Number
941-749-5826
person
Provider Business Mailing Address Details
Address
1731 Manatee Ave E
City
Bradenton
State
Florida
Zip
34208
Phone Number
941-749-5512
Fax Number
941-749-5826
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN0013214 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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