Provider Type Icon

JACKSON AND MOORE PROFESSIONAL CORPORATION NPI 1841396637


NPI Information

NPI: 1841396637
Provider Name: JACKSON AND MOORE PROFESSIONAL CORPORATION

Doing Business As: HUB PLAZA DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1047 HARRIMAN PL
STE. B
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 796-6700
Get Directions

JACKSON AND MOORE PROFESSIONAL CORPORATION is a general practice dentist in San Bernardino, CA. 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. JACKSON AND MOORE PROFESSIONAL CORPORATION NPI is 1841396637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hub Plaza Dental Group.

The provider's business location address is:

1047 HARRIMAN PL
STE. B
SAN BERNARDINO, CA
ZIP 92408-203
Phone: (909) 796-6700
Fax: (909) 796-6779

The provider's authorized official is Tanisha A Jackson .
The authorized official title is Owner Dds and has the following contact phone number (909) 796-6700.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 5/29/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.