Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher R Jackson

Individual provider Dentist · NPI 1003478629

Christopher R Jackson is a Dentist in Odessa, Texas. Licensed in Idaho and Texas. Registered with an NPI since 2019.

Licensed in
ID, TX
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3930 Tanglewood Ln
Odessa, TX 79762-7165
Phone: (432) 366-0896
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 36092 (TX)
Dentist Taxonomy 122300000X · Licence D-5055 (ID)

Record details

NPI number1003478629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESJanuary 18, 2025
Certification dateJanuary 18, 2025
Mailing address1501 W Wall St, Midland, TX 79701-6525

Other providers in Odessa