| Jackson Dental Corporation | |
|
422 Orange St Redlands CA 92374-3206 | |
| (909) 792-7500 | |
| (909) 792-7503 |
| Full Name | Jackson Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 422 Orange St, Redlands, California |
| Authorized Official Name and Position | Tanisha A Jackson (OWNER DDS) |
| Authorized Official Contact | 9097927500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Dental Corporation 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Jackson Dental Corporation 422 Orange St Redlands CA 92374-3206 Ph: (909) 792-7500 |
| NPI Number | 1992899777 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992899777 | NPI | - | NPPES |
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