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DR. JACKIE DOYLE DRAKE JR. D.D.S.
NPI 1508026840
Dentist - General Practice in Memphis, TN

Active since June 10, 2008
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jackie Doyle Drake Jr. D.d.s. NPPES

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

DR. JACKIE DOYLE DRAKE JR. D.D.S. (NPI 1508026840) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (DS0000008680) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1508026840
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACKIE DOYLE DRAKE JR.Credential: D.D.S.
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address1030 Jefferson AveMemphis, TN 38104-2127 · (901) 523-8990
Phone(901) 523-8990
Sole ProprietorNo
Enumeration DateJune 10, 2008
Last NPPES UpdateJune 13, 2008
✔ NPI 1508026840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS0000008680
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.
1030 JEFFERSON AVE, Memphis, TN 38104
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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.

MISS DEBORAH GERISE KARTHEISER RN
Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MRS. KENYETTA D. MCINTOSH-JONES LCSW
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
KELSEY A TIEMANN PHARM.D.
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
PENELOPE BLAND
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. MAXWELL TREVOR MCCLURE PT
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
CAMEKA SHANTA MOORE RN
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DANIELLE NICOLE TAYLOR
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. ROBERT WOOD SMITH DDS
Dentist (General Practice)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990

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 Jackie Drake's NPI number?

The NPI number for Jackie Drake is 1508026840. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Jackie Drake located?

Jackie Drake practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Jackie Drake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jackie Drake was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.