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

Douglas Wayne Jackson, DDS

Individual provider Dentist · NPI 1245367655

Douglas Wayne Jackson, DDS is a Dentist in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5540 S 79th E Pl
Tulsa, OK 74145-7846
Phone: (918) 663-0284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3534 (OK)

Record details

NPI number1245367655
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5540 S 79th E Place, Tulsa, OK 74145-7846

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