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

Dr. Jackson Robert Booth, DDS

Individual provider General Practice Dentistry · NPI 1891987368

Dr. Jackson Robert Booth, DDS is a General Practice Dentistry in Austin, Texas. Licensed in Oregon and Texas. Registered with an NPI since 2007.

Licensed in
OR, TX
In the registry since
2007
Specialties on file
2
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

4410 E Riverside Dr Ste 150
Austin, TX 78741-4799
Phone: (512) 739-9440
Fax: (512) 389-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 23496 (TX)
Dentist Taxonomy 122300000X · Licence D9554 (OR)

Record details

NPI number1891987368
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 17, 2007
Last updated in NPPESFebruary 18, 2014
Mailing address4410 E Riverside Dr, Suite 150, Austin, TX 78741-4799

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