Dr. Jackson Terry Devine , DDS
Dentist - General Practice • Pantego, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jackson Devine has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jackson Devine, DDS was a registered Dentist - General Practice practicing in Pantego, TX. Throughout an active medical career spanning 11 years, Dr. Devine provided care at the practice location at 1504 MISTLETOE LANE until profile deactivation on 2019-10-07.
Practice Location & Contact Primary Location
1504 Mistletoe Lane
Pantego, TX 76013
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Pantego, TX
Practicing in Pantego, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 07, 2019
NPI status registered as active in NPPES database
Registered at 1504 MISTLETOE LANE, PANTEGO, TX 76013 (Tel: 8174607581)
Registered at 1504 MISTLETOE LANE, PANTEGO, TX 76013 (Tel: 8174607581)
Recorded as JACKSON DEVINE, D.D.S.
Dentist (License #7028 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1504 Mistletoe Lane
Pantego, TX 76013
Phone: 8174607581
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