DR. Jackson Robert Booth, D.D.S. is a general practice dentist in Austin, TX. 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. Jackson Robert Booth, D.D.S. NPI is 1891987368. 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:
4410 E RIVERSIDE DR
SUITE 150
AUSTIN, TX
ZIP 78741-799
Phone: (512) 739-9440
Fax: (512) 389-9797
The NPI 1891987368 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 8/17/2007 and was last updated on 2/18/2014.