THOMAS R JACKSON DDS PA (NPI# 1336261528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336261528 |
| Entity Type | Organization |
| Organization Name | THOMAS R JACKSON DDS PA |
| Practice Address |
1007 Rockford Street Mount Airy NC 27030 |
| Practice Telephone | 3367891025 |
| Practice Fax Number | 3367891158 |
| Mailing Telephone | 3367891025 |
| Mailing Fax Number | 3367891158 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS RICHARD JACKSON (DENTIST) |
| Authorized Official Telephone | 3367891025 |
| Authorized Official Credential | DDS PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4074 | NC | Dental Providers |
| Street Address |
1007 ROCKFORD STREET |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| 1912054750 | Joan Dolores Hudson | Counselor | Area Services and Programs, 351 Riverside Drive, Mount Airy, NC 27030 | 2007-01-04 |
| Find all providers in zip 27030 | ||||
| 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 |
|---|---|---|---|---|
| 1649685637 | Niraj Pradip Patel | Dentist | 1311 S Main St Ste 203, Mount Airy, MD 21771-5457 | 2014-06-27 |
| 1811336746 | Beale Mckenzie Sumner IIi | Dentist | 1124 S South St, Mount Airy, NC 27030-5332 | 2013-06-25 |
| 1982849824 | Sonia Elisabeth Clesner | Dentist | 4644 Ridge Rd, Mount Airy, MD 21771-8901 | 2008-12-06 |
| 1497876015 | Grayson Bennett Smith Jr. | Dentist | 933 Old Rockford Street, Suite 7, Mount Airy, NC 27030-5356 | 2007-04-02 |
| 1376685610 | Phillip B Brintle | Dentist | 1284 Newsome St, Mount Airy, NC 27030-5442 | 2007-02-13 |
| 1023034055 | Larry Dean Simmons | Dentist | 1007 Rockford St, Suite 1, Mount Airy, NC 27030-5325 | 2006-07-14 |
| 1538776455 | Lane and Associates Xxxix | Dentist | 1007 Rockford St, Mount Airy, NC 27030-5325 | 2020-09-24 |
| 1669779518 | Fdc-dds PC | Dentist | 4644 Ridge Rd, Mount Airy, MD 21771-8901 | 2011-02-11 |
| 1336315266 | John Kevin Brooks | Dentist | 216 S Main St, Mount Airy, MD 21771-5317 | 2008-04-30 |
| 1871776088 | John L. Gravitte, D.d.s., P.a. | Dentist | 202 Rawley Ave, Mount Airy, NC 27030-3530 | 2007-12-11 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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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.