IndividualActive
Amy Jackson
NPI 1881754877 · Orthodontics and Dentofacial Orthopedics Dentistry · San Antonio, TX
Provider details
- NPI number
- 1881754877
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22622 (TX)
Specialties & taxonomies
Dental Providers
Practice location
14855 Blanco Rd Ste 109
San Antonio, TX 78216-7728
Phone: (210) 493-6067
Approximate (ZIP-level) locationGet directions
Mailing address
14855 Blanco Rd Ste 109
San Antonio, TX 78216-7728
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2011-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.