DR. CHERYL JACKSON (NPI# 1205059995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205059995 |
| Entity Type | Individual |
| Full Name | DR. CHERYL JACKSON |
| Credential | DDS |
| Practice Address |
4646 Poplar Ave Ste. 514 Memphis TN 38117-4426 |
| Practice Telephone | 9017633601 |
| Practice Fax Number | 9017633602 |
| Mailing Telephone | 9017633601 |
| Mailing Fax Number | 9017633602 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS0000007109 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1548478217 | Cheryl R Jackson | Specialist/Technologist | 5243 Dalewood Dr, Cross Lanes, WV 25313-1748 | 2007-05-18 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1831165166 | Cheryl Anne Jackson | Physician Assistant | 401 Shickshinney Lake Road, Huntington Mills, PA 18622-0046 | 2006-02-27 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1366787806 | Cheryl Gwendolyn Jackson | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2012-12-11 |
| Street Address |
4646 POPLAR AVE STE. 514 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568438505 | James B Moseley | Psychiatry & Neurology | 4646 Poplar Ave, Suite 317, Memphis, TN 38117-4426 | 2006-02-28 |
| 1194299859 | Novia Wright | Social Worker | 4646 Poplar Ave, Memphis, TN 38117-4426 | 2019-01-16 |
| 1285135079 | Erica Nicole Liddell | Counselor | 4646 Poplar Ave, Memphis, TN 38117 | 2018-02-27 |
| 1073020244 | Danielle Janae Neal | Counselor | 4646 Poplar Ave, Memphis, TN 38117-4426 | 2018-01-09 |
| 1174044200 | Leslie D Halpern | Social Worker | 4646 Poplar Ave, Memphis, TN 38117-4426 | 2017-06-28 |
| 1588108344 | Umieca Nicolle Hankton | Psychologist | 4646 Poplar Ave, Ste 543, Memphis, TN 38117-4426 | 2016-12-14 |
| 1770036303 | Healing Hearts Counseling Center | Community/Behavioral Health | 4646 Poplar Ave, Ste 543, Memphis, TN 38117-4426 | 2016-08-01 |
| 1750730768 | Jessica Seebeck | Counselor | 4646 Poplar Ave, Memphis, TN 38117-4426 | 2016-06-09 |
| 1013377241 | Taylor & Steer Enterprises Inc | Audiologist-Hearing Aid Fitter | 4646 Poplar Ave, Suite 100, Memphis, TN 38117-4426 | 2016-03-01 |
| 1336531987 | Counseling and Testing Services | Counselor | 4646 Poplar Ave, Suite 417, Memphis, TN 38117-4426 | 2015-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016796 | John Jafarian | Dentist | Department of Periodontology 875 Union Avenue, Memphis, TN 38163-0001 | 2019-11-01 |
| 1689221152 | Dental Sleep Solutions Memphis Pllc | Dentist | 6389 N Quail Hollow Rd Ste 202, Memphis, TN 38120-1427 | 2019-08-20 |
| 1811540644 | Jane Nathanielle Moore | Dentist | 875 Union Ave Dunn Bldg Rm 502c, Memphis, TN 38163-0001 | 2019-07-21 |
| 1972096998 | Binal Jagadish Patel | Dentist | 113 Harbor Town Sq Ste 203, Memphis, TN 38103-8890 | 2018-06-13 |
| 1952894909 | Richard Anthony Law | Dentist | 875 Union Ave Dept of Orthodontics, Memphis, TN 38163-0001 | 2018-06-13 |
| 1497283691 | David Calvin Harris | Dentist | 6425 N Quail Hollow Rd Ste 101, Memphis, TN 38120-1438 | 2017-06-01 |
| 1427581057 | Ashley Hutchison | Dentist | 70 River Heights Dr Apt 304, Memphis, TN 38103-6970 | 2017-04-10 |
| 1790238533 | Fnu Sufia Kazima | Dentist | 3068 Covington Pike Ste 2, Memphis, TN 38128-5001 | 2016-07-28 |
| 1972958288 | Paul N. Gregory Jr. | Dentist | Univ of Tn College of Dentistry, 875 Union Ave., Memphis, TN 38163-0001 | 2016-04-25 |
| 1184083420 | Dove Family Dentistry - Bennington Pllc | Dentist | 5144 Riverdale Rd Ste 106, Memphis, TN 38141-0271 | 2016-02-15 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.