DOUGLAS WAYNE JACKSON


Address: 5540 S 79th E Place, Tulsa, OK 74145-7846
Phone: 9186630284

DOUGLAS WAYNE JACKSON (NPI# 1245367655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245367655
Entity Type Individual
Full Name DOUGLAS WAYNE JACKSON
Credential DDS
Practice Address 5540 S 79th E Place
Tulsa
OK 74145-7846
Practice Telephone 9186630284
Mailing Telephone 9186630284
Enumeration Date 2007-02-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 3534 OK Dental Providers

Other Providers DOUGLAS JACKSON

NPI Name Taxonomy Address Enumeration
1730384744 Douglas Reed Jackson Neuromusculoskeletal Medicine & OMM 3211 Applewood Rd, Midland, MI 48640-2666 2007-06-19
1457401762 Douglas Jackson Dentist 714 E. 4th Ave, Red Springs, NC 28377 2007-01-11
1063432342 Douglas R Jackson Family Medicine 517 W Junipero St Unit 1, 334 S Patterson Ave #120, Santa Barbara, CA 93105-4239 2006-07-20
1760412241 Douglas Gilbert Jackson I Nurse Practitioner 14827 Foothill Rd, Santa Paula, CA 93060-9733 2006-07-03
1962472407 Douglas T Jackson Anesthesiology 150 Bargen St, F 102, Newark, NJ 07103 2006-01-26
1184277857 Douglas Jackson Nurse Practitioner 1100 Reid Pkwy, Richmond, IN 47374-1157 2019-07-22
1427394147 Douglas Ray Jackson Pharmacist 600 Sheldon St, Creston, IA 50801-3322 2012-12-27
1891071635 Douglas Scott Jackson Pharmacist 116 S George St, Suite 101, York, PA 17401-1474 2011-10-25
1013160316 Douglas Clarence Jackson Specialist 2384 Atlantic Ave, Brooklyn, NY 11233-3402 2008-10-30
1912076639 Douglas L Jackson Nurse Anesthetist, Certified Registered 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 2006-11-07

Office Location

Street Address 5540 S 79TH E PLACE
City TULSA
State OK
Zip Code 74145-7846

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174015606 Grayson Elaine Kirk Social Worker 7028 E 32nd St, Tulsa, OK 74145 2018-05-31
1407378060 Matthew Ryan Lazar Case Manager/Care Coordinator 3405 S 95th East Ave, Tulsa, OK 74145 2017-07-14
1770014243 Sarah Truman Counselor 5332 S. Memorial Dr., Tulsa, OK 74145 2017-03-25
1265977615 Tsaw LLC Chiropractor 6949-51 E. 71st St., Tulsa, OK 74145 2016-12-21
1740722115 Green Country Pain Management Internal Medicine 6048-a S Sheridan Rd, Tulsa, OK 74145 2016-11-16
1790234003 Joy Home Care Services LLC In Home Supportive Care 9434 E 51st Street, Tulsa, OK 74145 2016-09-27
1407302821 Tammera Mcclenton Counselor 7225 E 58th St., Tulsa, OK 74145 2016-08-26
1366839482 Tesia D. Wells Marriage & Family Therapist 7226 E 41st St, Tulsa, OK 74145 2015-04-16
1942613427 Kevin Bonifield Counselor 5327 S Sheridan Rd, Tulsa, OK 74145 2014-06-03
1518208040 Kelsee Lane Mccutchen Counselor 7477 E. 46th Place, Tulsa, OK 74145 2013-03-07
Find all providers in zip 74145

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407470743 Tara Renae Littlefield Dentist 4770 S Harvard Ave, Tulsa, OK 74135-3024 2020-06-02
1548779135 Dental Depot of I-44 & Harvard, Pllc Dentist 4770 S. Harvard Ave., Tulsa, OK 74135-3024 2017-09-26
1245756428 Olakunle Ajanaku Dentist 4818 East 113th Place South, Tulsa, OK 74137 2017-08-18
1831610096 Cameron Craig Dentist 9671 South Riverside Drive East, Tulsa, OK 74137 2017-06-28
1407384639 Scott Douglas Street Dentist 5510 E 41st St Ste C, Tulsa, OK 74135-6009 2017-06-01
1225566821 Linda Jeanette Loscuito Dentist 5540 S 79th East Pl, Tulsa, OK 74145-7846 2017-05-25
1720514805 Cardelyn Dds Inc PC Dentist 10342 E 21st St, Tulsa, OK 74129-1606 2017-05-10
1104272913 Healthy Smiles Family Dentistry Pllp Dentist 1326 E 43rd Ct, Ste 100, Tulsa, OK 74105-4154 2016-05-11
1255717757 Rebecca Ann Hughes Dentist 3150 E 41st St Ste 131, Tulsa, OK 74105 2015-08-06
1588071823 Ryan Coursey Dentist 7891 E 108th St, Suite X-4, Tulsa, OK 74133-7405 2014-07-18
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74145

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Dataset Information

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.

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