NPI 1003478629

Christopher R Jackson

Practitioner Dentist Odessa, TX

Practice location

Address: 3930 Tanglewood Ln, Odessa, TX 79762-7165
Phone: (432) 366-0896
Mailing address: 1501 W Wall St, Midland, TX 79701-6525

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 36092 (TX)

Other Dentist providers in Texas →

Dentist

Dental Providers Taxonomy 122300000X Licence D-5055 (ID)

Registry record

NPI: 1003478629
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2019
Record last updated: 18 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.