Dr Richard M Jackson Jr, DDS is a
Dentist - General Practice based in Porter, Oklahoma. Dr Richard M Jackson Jr is licensed to practice in Oklahoma (license number 5920) and his current practice location is
505 S Main, Porter, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 483-0012.
NPI number for Dr Richard M Jackson Jr is 1801123633 and his current mailing address is Po Box 334, Porter, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801123633.
Healthcare Provider's Profile
| Full Name | Dr Richard M Jackson Jr |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 505 S Main, Porter, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801123633
- Provider Enumeration Date: 11/16/2009
- Last Update Date: 01/05/2012
Medical Identifiers
Medical identifiers for Dr Richard M Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801123633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5920 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard M Jackson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard M Jackson Jr, DDS
Po Box 334,
Porter, OK 74454-0334
Ph: (918) 483-0213 | Dr Richard M Jackson Jr, DDS
505 S Main,
Porter, OK 74454
Ph: (918) 483-0012 |
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