Redlands Dental Group

LBN: Jackson Dental Corporation
Redlands Dental Group is an health care organization with primary practice located at 422 Orange St , Redlands CA 92374-3206. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Jackson Dental Corporation can be contacted via phone (909) 792-7500, or through Jackson, Tanisha A via phone (909) 792-7500.

Contact Information

Primary practice address
422 Orange St Redlands CA 92374-3206
Phone: (909) 792-7500
Fax: (909) 792-7503
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Tanisha A Doctor of Dental Surgery (DDS)
Phone: (909) 792-7500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 47103 California
Dental Providers / Periodontics 1223P0300X 43860 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 51692 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 50851 California

Profile Details

NPI number 1992899777
LBN Legal business name Jackson Dental Corporation
DBA Doing business as Redlands Dental Group
Authorized official Jackson, Tanisha A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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