DR. Richard Fredrick Jackson, DD.S. is an oral and maxillofacial surgery dentist in Roseville, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Richard Fredrick Jackson, DD.S. NPI is 1124116066. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1441 SECRET RAVINE PKWY
SUITE 160
ROSEVILLE, CA
ZIP 95661-044
Phone: (916) 787-1515
Fax: (916) 787-1516
The NPI 1124116066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/10/2006 and was last updated on 6/5/2015.