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DOUGLAS WAYNE JACKSON DDS
NPI 1245367655
Dentist in Tulsa, OK

Active since February 27, 2007
5540 S 79TH E PLACE, TULSA, OK 74145(918) 663-0284 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Wayne Jackson Dds NPPES

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

DOUGLAS WAYNE JACKSON DDS (NPI 1245367655) is an individual dentist in Tulsa, Oklahoma, licensed in Oklahoma (3534) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1245367655
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDOUGLAS WAYNE JACKSONCredential: DDS
Location Address5540 S 79TH E PLACETulsa, OK 74145-7846
Mailing Address5540 S 79th E PlaceTulsa, OK 74145-7846 · (918) 663-0284
Phone(918) 663-0284
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245367655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 3534
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5540 S 79TH E PLACE, Tulsa, OK 74145
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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 Douglas Jackson's NPI number?

The NPI number for Douglas Jackson is 1245367655. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Douglas Jackson located?

Douglas Jackson practices at 5540 S 79th E Place, Tulsa, OK 74145. The listed phone number is (918) 663-0284.

What is Douglas Jackson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Douglas 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.