Tonjolique J. Jackson DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23084 Issued in TX

Legal business name

TONJOLIQUE J. JACKSON DDS, PC

Practice address

950 E Belt Line Rd
Suite 130
Cedar Hill, TX 75104-2422

Phone

(972) 293-8033

Fax

(972) 293-8028

NPI assigned

Aug 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tonjolique James Jackson, DDS

Title

Owner

Phone

(972) 293-8033

Specialties & licenses 1

Addresses

Other names 1

• Shine Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tonjolique Dabria James, DDS

  • Dentist
  • Cedar Hill, TX
  • NPI 1376745521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1336496819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD",
            "address_2": "SUITE 130",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042422",
            "telephone_number": "972-293-8033",
            "fax_number": "972-293-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD",
            "address_2": "SUITE 130",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042422",
            "telephone_number": "972-293-8033",
            "fax_number": "972-293-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONJOLIQUE J. JACKSON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TONJOLIQUE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-293-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawanna Beatrice Thompson
• Thor Medical Association
• Kyle Thrush, PT, DPT
• Rebecca Camille Tibbits, D.C.
• Tompkins Chiropractic & Wellness ,PA
• Toothhq Dental Specialists Cedar Hill PLLC
• Julie A Torre, ATC, LAT
• Tran Eye Associates, PLLC
• Anthony Tran, OD
• Mary Kim Thi Tran, D.D.S.

• Dental Clinic/Center in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.