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DR. TRACY LESLIE JACKSON D.M.D. NPI 1740203496


NPI Information

NPI: 1740203496
Provider Name: DR. TRACY LESLIE JACKSON, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1731 MANATEE AVE E
BRADENTON, FL
ZIP 34208
Phone: (941) 749-5512
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DR. Tracy Leslie Jackson, D.M.D. is a general practice dentist in Bradenton, FL. 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. Tracy Leslie Jackson, D.M.D. NPI is 1740203496. 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:

1731 MANATEE AVE E
BRADENTON, FL
ZIP 34208
Phone: (941) 749-5512
Fax: (941) 749-5826

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/24/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN0013214FLORIDAYes

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: 1/10/2023

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.