TONJOLIQUE J. JACKSON DDS PC NPI 1336496819

NPI Information

  • NPI: 1336496819
  • Provider Name: TONJOLIQUE J. JACKSON DDS, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SHINE DENTAL CARE
  • Address: 950 E BELT LINE RD
    SUITE 130
    CEDAR HILL, TX
    ZIP 75104
  • Phone: (972) 293-8033

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NPI Details

TONJOLIQUE J. JACKSON DDS, PC is a dental clinic center in Cedar Hill, TX. TONJOLIQUE J. JACKSON DDS, PC NPI is 1336496819. The provider is registered as an organization entity type.
The provider Is Doing Business As Shine Dental Care.

The provider's business location address is:

950 E BELT LINE RD
SUITE 130
CEDAR HILL, TX
ZIP 75104-422
Phone: (972) 293-8033
Fax: (972) 293-8028

The provider's authorized official is Tonjolique James Jackson .
The authorized official title is Owner and has the following contact phone number (972) 293-8033.

The enumeration date for this NPI number is 8/14/2012 and was last updated on 8/14/2012.

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
1261QD0000XClinic/CenterDental23084TEXASYes

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: 11/21/2025

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