Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134371966 Individual Practitioner Male Practitioner

Dr. Nathanial Damon Jackson , DDS

Dentist • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nathanial Jackson, DDS is a registered healthcare professional specializing in Dentist in Tucson, AZ. Practice services are available at 839 W CONGRESS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

839 W Congress St

Tucson, AZ 857452819

Telephone 5206703909
Fax 5203092560
Associated Practice Facility / Clinic
🏢 El Rio Health Center Pharmacy Facility NPI 1467439091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
229 Specialists

Practicing in Tucson, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License DC DEN1000767

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License NY 054051

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013279587

Doctor of Osteopathic Medicine (D.O.)

Cristina Montiel

Dental Hygienist

NPI 1013345073
Shawn Lee

Dental Hygienist

NPI 1013550375
NPI 1013598614

Licensed Professional Counselor

Dr. Gabrielle Ochoa , MD

Internal Medicine

NPI 1023096674

Doctor of Medicine (M.D.)

Dr. Nelda Akinbile , MD

Psychiatry & Neurology - Psychiatry

NPI 1023112745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 05, 2024

Registered at 839 W CONGRESS ST, TUCSON, AZ 857452819 (Tel: 5207929890)

📍
Updated Business Mailing Address April 05, 2024

Registered at 839 W CONGRESS ST, TUCSON, AZ 857452819 (Tel: 5207929890)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2024

Dentist (License #054051 in NY)

📍
Updated Practice Location November 22, 2019

Registered at 200 GIRARD ST STE 206, GAITHERSBURG, MD 208773490 (Tel: 2407200510)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2019

Dentist (License #DEN1000767 in DC)

NPI Profile Active July 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2012

Registered at 1900 MASS AVE SE, WASHINGTON, DC 200032542 (Tel: 2025486500)

📍
Updated Business Mailing Address July 09, 2012

Registered at 433 PALMSPRING DR, GAITHERSBURG, MD 208782935 (Tel: 6155796195)

👤
Provider Name / Credentials Updated July 09, 2012

Recorded as NATHANIAL JACKSON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2012

Dentist (License #DEN1000767 in DC)

🟢
Initial NPI Registration & Enumeration October 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134371966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2008
Last Update: March 12, 2025
Sole Proprietor: Yes

Mailing Address

839 W Congress St

Tucson, AZ 857452819

Phone: 5206703909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.