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MRS. WANDA KAY JACKSON RDH
NPI 1043323504
Dental Hygienist in Shreveport, LA

Active since August 17, 2006
510 E STONER AVE, #160, SHREVEPORT, LA 71101(318) 221-8411(318) 841-4795 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Wanda Kay Jackson Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. WANDA KAY JACKSON RDH (NPI 1043323504) is an individual dental hygienist in Shreveport, Louisiana, licensed in Louisiana (376) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1043323504
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. WANDA KAY JACKSONCredential: RDH
Location Address510 E STONER AVE, #160Shreveport, LA 71101-4243
Mailing Address510 E Stoner Ave, #160Shreveport, LA 71101-4243 · (318) 221-8411 · Fax (318) 841-4795
Phone(318) 221-8411
Fax(318) 841-4795
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043323504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in LA · 376
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
510 E STONER AVE, Shreveport, LA 71101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Jackson's NPI number?

The NPI number for Wanda Jackson is 1043323504. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Wanda Jackson located?

Wanda Jackson practices at 510 E Stoner Ave #160, Shreveport, LA 71101. The listed phone number is (318) 221-8411.

What is Wanda Jackson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Wanda Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.