DR. TRACY LESLIE JACKSON D.M.D.
NPI 1740203496
Dentist - General Practice in Bradenton, FL

Q: What is Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1740203496. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Tracy Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Jackson was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 25, 2006

1731 MANATEE AVE E, BRADENTON, FL 34208(941) 749-5512(941) 749-5826 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tracy Leslie Jackson D.m.d. NPPES

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

DR. TRACY LESLIE JACKSON D.M.D. (NPI 1740203496) is an individual general practice provider in Bradenton, Florida, licensed in Florida (DN0013214) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1740203496

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TRACY LESLIE JACKSONCredential: D.M.D.

Location Address1731 MANATEE AVE EBradenton, FL 34208

Mailing Address1731 Manatee Ave EBradenton, FL 34208 · (941) 749-5512 · Fax (941) 749-5826

Phone(941) 749-5512

Fax(941) 749-5826

Sole ProprietorYes

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 26, 2024

NPPES CertifiedNovember 26, 2024

✔ NPI 1740203496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN0013214

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.

1731 MANATEE AVE E, Bradenton, FL 34208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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 Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1740203496. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Tracy Jackson located?

Tracy Jackson practices at 1731 Manatee Ave E, Bradenton, FL 34208. The listed phone number is (941) 749-5512.

What is Tracy Jackson's specialty?

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

What insurance does Tracy Jackson accept?

Health plans from Humana list Tracy Jackson 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 Tracy Jackson was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.