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JACKSON FULLER DDS
NPI 1619549862
Dentist - General Practice in Highland Village, TX

Active since July 15, 2021
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077(469) 444-6500 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Jul 15, 2021 (2 updates tracked since 2021).

About Jackson Fuller Dds NPPES

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

JACKSON FULLER DDS (NPI 1619549862) is an individual general practice provider in Highland Village, Texas, licensed in Texas (39355) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1619549862
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACKSON FULLERCredential: DDS
Location Address2600 VILLAGE PKWY STE 120Highland Village, TX 75077-3285
Mailing Address2600 Village Pkwy Ste 120Highland Village, TX 75077-3285
Phone(469) 444-6500
Sole ProprietorNo
Enumeration DateJuly 15, 2021
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1619549862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 39355
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.
2600 VILLAGE PKWY STE 120, Highland Village, TX 75077
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

MARK V WAGNER DMD PLLC
Dentist
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077
Denton County (469) 444-6500
DR. MARK VINCENT WAGNER DMD
Dentist
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077
Denton County (469) 444-6500
HIGHLAND DENTAL GROUP, PLLC
Clinic/Center (Dental)
2600 VILLAGE PKWY STE 120
HIGHLAND VILLAGE, TX 75077
Denton County (469) 444-6500

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 Jackson Fuller's NPI number?

The NPI number for Jackson Fuller is 1619549862. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Jackson Fuller located?

Jackson Fuller practices at 2600 Village Pkwy Ste 120, Highland Village, TX 75077. The listed phone number is (469) 444-6500.

What is Jackson Fuller's specialty?

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

What insurance does Jackson Fuller accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Jackson Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Fuller was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.