Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003478629 Individual Practitioner Male Practitioner

Christopher R Jackson

Dentist • Odessa, TX

Professional Overview & Biography Verified Profile Summary

Christopher Jackson is a registered healthcare professional specializing in Dentist in Odessa, TX. Practice services are available at 3930 TANGLEWOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3930 Tanglewood Ln

Odessa, TX 797627165

Telephone 4323660896

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
29 Specialists

Practicing in Odessa, TX (6851 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: 2025-01-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 36092

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 ID D-5055

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

1 Associated Practitioners
NPI 1316057177

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 January 18, 2025

Registered at 3930 TANGLEWOOD LN, ODESSA, TX 797627165 (Tel: 4323660896)

📍
Updated Practice Location January 09, 2023

Registered at 4214 ANDREWS HWY STE 300, MIDLAND, TX 797034867 (Tel: 4326973333)

📍
Updated Business Mailing Address January 09, 2023

Registered at 1501 W WALL ST, MIDLAND, TX 797016525

👤
Provider Name / Credentials Updated January 09, 2023

Recorded as CHRISTOPHER JACKSON

NPI Profile Active July 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2019

Registered at ISU FAMILY DENTISTRY, 1311 E CENTRAL DR, MERIDIAN, ID 83642 (Tel: 2083731700)

📍
Updated Business Mailing Address July 03, 2019

Registered at 8475 W WESTCHESTER AVE, BOISE, ID 837044375

👤
Provider Name / Credentials Updated July 03, 2019

Recorded as CHRIS JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Dentist (License #D-5055 in ID)

🟢
Initial NPI Registration & Enumeration July 03, 2019

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: 1003478629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2019
Last Update: January 18, 2025
Sole Proprietor: No

Mailing Address

1501 W Wall St

Midland, TX 797016525

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.