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

Dr. Tracy Leslie Jackson, DMD

Individual provider General Practice Dentistry · NPI 1740203496

Dr. Tracy Leslie Jackson, DMD is a General Practice Dentistry in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1731 Manatee Ave E
Bradenton, FL 34208
Phone: (941) 749-5512
Fax: (941) 749-5826
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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 DN0013214 (FL)

Record details

NPI number1740203496
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address1731 Manatee Ave E, Bradenton, FL 34208

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