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Jackson Booth, D.D.S
NPI 1891987368 · on the registry since 2007
Practice
- Address
- 4410 E Riverside Dr
Suite 150
Austin, TX 78741 - Phone
- (512) 739-9440
- Fax
- (512) 389-9797
- Organisation at this address
- Southpark Smiles, Pc
River Rock Dental, P.C.
Riverside Austin Dental PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- TX, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-18
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 Texas