Jackson, Tracie

Jackson, Tracie is an sole proprietor health care provider with primary practice located at 1507 W League City Pkwy Ste 100 , League City TX 77573-7340. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jackson, Tracie can be contacted via phone (281) 332-8400.

Contact Information

Primary practice address
1507 W League City Pkwy Ste 100 League City TX 77573-7340
Phone: (281) 332-8400
Fax: (281) 476-6429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22852 Texas

Profile Details

NPI number 1982883609
LBN Legal business name Jackson, Tracie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2007
Last updated May 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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