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

Miss. Patricia Renee Jackson

Individual provider Dentist · NPI 1023377967

Miss. Patricia Renee Jackson is a Dentist in Chinle, Arizona. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

191 Highway And Hospital Rd
Chinle, AZ 86503
Phone: (928) 674-7166
Fax: (928) 674-7705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.023852 (OH)

Record details

NPI number1023377967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2012
Last updated in NPPESOctober 8, 2013

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