DR. ASHLEY R JACKSON DDS NPI 1770596744

NPI Information

NPI: 1770596744
Provider Name: DR. ASHLEY R JACKSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
123 W GROVE ST
EL DORADO, AR
ZIP 71730
Phone: (870) 864-0338
Get Directions

DR. Ashley R Jackson, DDS is a general practice dentist in El Dorado, AR. The provider is 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. DR. Ashley R Jackson, DDS NPI is 1770596744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 W GROVE ST
EL DORADO, AR
ZIP 71730-608
Phone: (870) 864-0338
Fax: (870) 864-0229

The enumeration date for this NPI number is 8/14/2006 and was last updated on 10/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	3443	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	152114608	MEDICAID	ARKANSAS
2	5X453	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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