Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104513134 Individual Practitioner Female Practitioner

Natalie Ann Jackson

Dentist • Rogers, AR

Professional Overview & Biography Verified Profile Summary

Natalie Jackson is a registered healthcare professional specializing in Dentist in Rogers, AR. Practice services are available at 2603 W PLEASANT GROVE RD STE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2603 W Pleasant Grove Rd Ste 111

Rogers, AR 727588514

Telephone 4792821023
Associated Practice Facility / Clinic
🏢 B. Kyle Benton, Dds, Pa Facility NPI 1043535727

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rogers, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Rogers, AR (549 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: 2024-04-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AR 4722

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 MO 2023022968

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.

Secondary Practice Locations

615 S New Ballas Rd

Saint Louis, MO 631418221

Phone: 3142515775

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Brandon Benton , DDS

Dentist - General Practice

NPI 1609191352

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 04, 2024

Registered at 2603 W PLEASANT GROVE RD STE 111, ROGERS, AR 727588514 (Tel: 4792821023)

📍
Updated Business Mailing Address April 04, 2024

Registered at 7160 HAZEL CT, SPRINGDALE, AR 727620861 (Tel: 4797211048)

📍
Updated Business Mailing Address June 28, 2023

Registered at 16573 WILD HORSE CREEK RD APT 2311, CHESTERFIELD, MO 630171427 (Tel: 4797211048)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2023

Dentist (License #2023022968 in MO)

NPI Profile Active April 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2023

Registered at 615 S NEW BALLAS RD, SAINT LOUIS, MO 631418221 (Tel: 3142515775)

📍
Updated Business Mailing Address April 19, 2023

Registered at 8860 N RHODE AVE APT 206, KANSAS CITY, MO 641532060 (Tel: 4797211048)

👤
Provider Name / Credentials Updated April 19, 2023

Recorded as NATALIE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2023

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: 1104513134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2023
Last Update: April 04, 2024
Sole Proprietor: Yes

Mailing Address

7160 Hazel Ct

Springdale, AR 727620861

Phone: 4797211048

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.