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Dr. Richard M Jackson JR., DDS
General Practice Dentistry in Porter, Oklahoma
NPI 1801123633

Richard M Jackson JR. is a General Practice Dentistry based in Porter, OK and is specialized in General Practice. Richard M Jackson JR. practices in Porter, OK and has the professional credentials of DDS. The NPI Number for Richard M Jackson JR. is 1801123633 and holds a License No. 5920 (Oklahoma).

The current practice location address for Richard M Jackson JR. is 505 S Main, Porter, OK and can be reached out via phone at 918-483-0012 and via fax at 918-483-4174. You can also correspond with Richard M Jackson JR. through the mailing address at PO BOX 334, PORTER, OK - 74454-0334 (mailing address contact number: 918-483-0213).

Location: 505 S Main, Porter, OK, 74454-0334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801123633
Provider Name
Richard M Jackson JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
505 S Main, Porter, OK, 74454-0334
Phone Number
918-483-0012
Fax Number
918-483-4174
Provider Enumeration Date
11/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 S Main
City
Porter
State
Oklahoma
Zip
74454
Phone Number
918-483-0012
Fax Number
918-483-4174
person
Provider Business Mailing Address Details
Address
505 S Main
City
Porter
State
Oklahoma
Zip
74454
Phone Number
918-483-0012
Fax Number
918-483-4174
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5920 (Oklahoma)
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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