Active NPI 1801123633 Individual Practitioner Male Practitioner

Dr. Richard M Jackson , DDS

Dentist - General Practice • Porter, OK

Professional Overview & Biography Verified Profile Summary

Dr. Richard Jackson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Porter, OK. Practice services are available at 505 S MAIN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

505 S Main

Porter, OK 74454

Telephone 9184830012

Fax 9184834174

Associated Practice Facility / Clinic

🏢 Arkansas Verdigris Valley Health Centers, Inc. Facility NPI 1083740047

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Porter, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 17.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Porter, OK (1496 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 5920

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Stephanie Garrett , PA-C

Physician Assistant

NPI 1821482811

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2012

Registered at 505 S MAIN, PORTER, OK 74454 (Tel: 9184830012)

📍

Updated Business Mailing Address January 05, 2012

Registered at PO BOX 334, PORTER, OK 744540334 (Tel: 9184830213)

👤

Provider Name / Credentials Updated January 05, 2012

Recorded as RICHARD JACKSON, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2012

Dentist (License #5920 in OK)

🟢

Initial NPI Registration & Enumeration November 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1801123633

Entity Type:

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

Enumeration Date: November 16, 2009

Last Update: January 05, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 334

Porter, OK 744540334

Phone: 9184830213

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.