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

Dr. Tanisha A Jackson, DDS

Individual provider General Practice Dentistry · NPI 1629183777

Dr. Tanisha A Jackson, DDS is a General Practice Dentistry in Irvine, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

2860 Michelle 2nd Fl
Irvine, CA 92606-1009
Phone: (714) 508-3600
Fax: (714) 368-2092
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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 47103 (CA)

Record details

NPI number1629183777
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address422 Orange St, Redlands, CA 92374-3206

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