Dr. Jack Houston Self , DDS
Dentist • San Angelo, 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. Jack Self has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Self, DDS was a registered Dentist practicing in San Angelo, TX. Throughout an active medical career spanning 14 years, Dr. Self provided care at the practice location at 113 A & M ST until profile deactivation on 2020-02-24.
Practice Location & Contact Primary Location
113 A & M St
San Angelo, TX 769013661
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in San Angelo, TX
Practicing in San Angelo, TX (6851 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 24, 2020
NPI status registered as active in NPPES database
Registered at 113 A & M ST, SAN ANGELO, TX 769013661 (Tel: 3259490595)
Registered at 113 A & M ST, SAN ANGELO, TX 769013661 (Tel: 3259490595)
Recorded as JACK SELF, DDS
Dentist (License #7787 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
113 A & M St
San Angelo, TX 769013661
Phone: 3259490595
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