Active NPI 1629046339 Individual Practitioner Male Practitioner

Dr. Richard K Jackson , DDS

Dentist - General Practice • West Palm Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Richard Jackson, DDS is a registered healthcare professional specializing in Dentist - General Practice in West Palm Beach, FL. Practice services are available at 1975 SANSBURYS WAY STE 112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1975 Sansburys Way Ste 112

West Palm Beach, FL 334111928

Telephone 5617376445

Fax 5617925977

Associated Practice Facility / Clinic

🏢 Dr Richard K Jackson Pa Facility NPI 1407127640

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Palm Beach, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.0 Yrs

State Avg: 15.0 Yrs

Regional Practice Density

92 Specialists

Practicing in West Palm Beach, FL (7473 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: 2020-02-13

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN12332

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

073772100 (FL)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 13, 2020

Registered at 1975 SANSBURYS WAY STE 112, WEST PALM BEACH, FL 334111928 (Tel: 5617376445)

📍

Updated Business Mailing Address February 13, 2020

Registered at 1975 SANSBURYS WAY STE 112, WEST PALM BEACH, FL 334111928 (Tel: 5617376445)

✅

NPI Profile Active June 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2011

Registered at 326 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 334354025 (Tel: 5617376445)

📍

Updated Business Mailing Address June 03, 2011

Registered at 326 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 334354025 (Tel: 5617376445)

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Provider Name / Credentials Updated June 03, 2011

Recorded as RICHARD JACKSON, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2011

Dentist (License #DN12332 in FL)

🟢

Initial NPI Registration & Enumeration March 09, 2006

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: 1629046339

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 09, 2006

Last Update: February 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1975 Sansburys Way Ste 112

West Palm Beach, FL 334111928

Phone: 5617376445

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.