Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jackson Robert Booth, DDS

Individual provider General Practice Dentistry · NPI 1891987368

Dr. Jackson Robert Booth, DDS practises 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 Not confirmed with CMS for 12 years — call before visiting
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

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