DR. TERENCE STEWART JACKSON (NPI# 1306940994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306940994 |
| Entity Type | Individual |
| Full Name | DR. TERENCE STEWART JACKSON |
| Credential | DMD MA |
| Practice Address |
47 Oak St 2nd Floor Stamford CT 06905 |
| Practice Telephone | 2032522252 |
| Practice Fax Number | 2035046270 |
| Mailing Telephone | 2032522252 |
| Mailing Fax Number | 2035046270 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
0518851 | NY | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
20271 | MA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
009411 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720420680 | Terence Jackson | Surgery | 1 Akron General Ave, Akron, OH 44307-2432 | 2013-07-20 |
| Street Address |
47 OAK ST 2ND FLOOR |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932443959 | Jean F. Gregory | Social Worker | 47 Oak St, Stamford, CT 06905-5316 | 2012-11-15 |
| 1609182831 | Alan Weisel Md PC | Orthopaedic Surgery | 47 Oak St, Second Floor, Stamford, CT 06905-5316 | 2010-08-25 |
| 1689995078 | Tatiana Fleischman | Internal Medicine | 47 Oak St, Suite 110, Stamford, CT 06905-5316 | 2010-06-19 |
| 1013175421 | Michael A Doumouras | Dentist | 47 Oak St, Stamford, CT 06905-5316 | 2008-06-02 |
| 1255468005 | Jack D Degrado | Dentist | 47 Oak St, 2nd Floor, Stamford, CT 06905-5316 | 2007-02-28 |
| 1700924370 | Brian Seth Yomtov | Chiropractor | 47 Oak St, Suite 270, Stamford, CT 06905-5316 | 2007-02-03 |
| 1477634533 | Avi Weiner | Neuromusculoskeletal Medicine, Sports Medicine | 47 Oak St, Ste 110, Stamford, CT 06905-5320 | 2006-10-17 |
| 1578670527 | Alan Weisel | Orthopaedic Surgery | 47 Oak St, Stamford, CT 06905-5316 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053328591 | Edmund David D'onofrio | Dentist | 1415 Newfield Ave, Stamford, CT 06905-1415 | 2006-08-01 |
| 1568485035 | Alan Norman Miller | Dentist | 126 Hoyt St, Stamford, CT 06905-5795 | 2006-07-25 |
| 1558364091 | Periodontal Associates, LLC | Dentist | 61 4th St, Stamford, CT 06905-5010 | 2005-05-29 |
| 1568655074 | Lisa D Trepp | Dentist | 90 Morgan Street, Suite 305, Stamford, CT 06905 | 2007-08-20 |
| 1508981770 | Miles H Scheffer | Dentist | 90 Morgan St, 305, Stamford, CT 06905 | 2007-03-20 |
| 1417024084 | John Peter Rallo | Dentist | 1081 Hope St, Stamford, CT 06907-1824 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| Find all providers with the same taxonomy | ||||
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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.