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Richard Jackson, DDS
NPI 1801123633 · on the registry since 2009
Practice
- Address
- 505 S Main
Porter, OK 74454 - Phone
- (918) 483-0012
- Fax
- (918) 483-4174
- Organisation at this address
- Arkansas Verdigris Valley Health Centers, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma