DR. RICHARD M JACKSON JR. DDS
NPI 1801123633
Dentist - General Practice in Porter, OK

Q: What is Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1801123633. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Q: What is Richard 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 Richard Jackson was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 16, 2009

505 S MAIN, PORTER, OK 74454(918) 483-0012(918) 483-4174 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Richard M Jackson Jr. Dds NPPES

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

DR. RICHARD M JACKSON JR. DDS (NPI 1801123633) is an individual general practice provider in Porter, Oklahoma, licensed in Oklahoma (5920) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1801123633

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RICHARD M JACKSON JR.Credential: DDS

Location Address505 S MAINPorter, OK 74454

Mailing AddressPo Box 334Porter, OK 74454-0334 · (918) 483-0213 · Fax (918) 483-4174

Phone(918) 483-0012

Fax(918) 483-4174

Sole ProprietorNo

Enumeration DateNovember 16, 2009

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1801123633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 5920

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.

505 S MAIN, Porter, OK 74454

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Other Providers at the Same Location NPPES

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

ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC.

Family Medicine

505 S MAIN
PORTER, OK 74454

Wagoner County (918) 483-0111

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1801123633. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Where is Richard Jackson located?

Richard Jackson practices at 505 S Main, Porter, OK 74454. The listed phone number is (918) 483-0012.

What is Richard Jackson'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 Richard Jackson was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.