DR. DONNA HENLEY-JACKSON DDS NPI 1740574466

NPI Information

  • NPI: 1740574466
  • Provider Name: DR. DONNA HENLEY-JACKSON, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 605 S CONROE MEDICAL DR
    LONE STAR FAMILY HEALTH CENTER
    CONROE, TX
    ZIP 77304
  • Phone: (936) 523-5292

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NPI Details

DR. Donna Henley-jackson, DDS is a pediatric dentistry dentist in Conroe, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Donna Henley-jackson, DDS NPI is 1740574466. 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:

605 S CONROE MEDICAL DR
LONE STAR FAMILY HEALTH CENTER
CONROE, TX
ZIP 77304-722
Phone: (936) 523-5292
Fax: (936) 521-8450

The enumeration date for this NPI number is 5/31/2011 and was last updated on 10/8/2025.

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
11223P0221XDentistPediatric Dentistry25246TEXASYes
2122300000XDentist061405NEW YORKNo

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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