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

Individual provider Dentist · NPI 1104513134

Natalie Ann Jackson is a Dentist in Rogers, Arkansas. Practices as a sole proprietor and works from 2 locations. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2603 W Pleasant Grove Rd Ste 111
Rogers, AR 72758-8514
Phone: (479) 282-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-5775

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4722 (AR)
Dentist Taxonomy 122300000X · Licence 2023022968 (MO)

Record details

NPI number1104513134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address7160 Hazel Ct, Springdale, AR 72762-0861

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