JACKSON DENTAL CORPORATION NPI 1992899777

NPI Details

JACKSON DENTAL CORPORATION is an orthodontics and dentofacial orthopedics dentist in Redlands, CA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. JACKSON DENTAL CORPORATION NPI is 1992899777. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

422 ORANGE ST
REDLANDS, CA
ZIP 92374-206
Phone: (909) 792-7500
Fax: (909) 792-7503

The provider's authorized official is Tanisha A Jackson .
The authorized official title is Owner Dds and has the following contact phone number (909) 792-7500.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/11/2025.

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: