TONJOLIQUE J. JACKSON DDS, PC (NPI# 1336496819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336496819 |
| Entity Type | Organization |
| Organization Name | TONJOLIQUE J. JACKSON DDS, PC |
| Other Organization Name | SHINE DENTAL CARE |
| Practice Address |
950 E Belt Line Rd Suite 130 Cedar Hill TX 75104-2422 |
| Practice Telephone | 9722938033 |
| Practice Fax Number | 9722938028 |
| Mailing Telephone | 9722938033 |
| Mailing Fax Number | 9722938028 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | DR. TONJOLIQUE JAMES JACKSON (OWNER) |
| Authorized Official Telephone | 9722938033 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
23084 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shine Dental Care | Doing Business As Name - Organization |
| Street Address |
950 E BELT LINE RD SUITE 130 |
| City | CEDAR HILL |
| State | TX |
| Zip Code | 75104-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225002298 | Brian D Jones | Family Medicine | 950 E Belt Line Rd, Suite 100, Cedar Hill, TX 75104-2422 | 2006-02-15 |
| 1942774260 | James Vlcek | Chiropractor | 950 E Belt Line Rd, Cedar Hill, TX 75104-2422 | 2019-01-21 |
| 1225576846 | Kyle Bendal Hassell | Chiropractor | 950 E Belt Line Rd, 180, Cedar Hill, TX 75104-2422 | 2017-02-02 |
| 1134472905 | Medhealth | Durable Medical Equipment & Medical Supplies | 950 E Belt Line Rd, Ste#100, Cedar Hill, TX 75104-2422 | 2012-10-18 |
| 1285930073 | Pain Management Physcians of Dallas, Pllc | Anesthesiology | 950 E Belt Line Rd, Suite 100, Cedar Hill, TX 75104-2422 | 2011-01-27 |
| 1699912881 | Jaclyn Lee Ann Ganacias | Family Medicine | 950 E Belt Line Rd, Suite 100, Cedar Hill, TX 75104-2422 | 2009-01-09 |
| 1487847034 | Comfort Rehab Pa | Chiropractor | 950 E Belt Line Rd, #180, Cedar Hill, TX 75104-2422 | 2007-08-27 |
| 1376745521 | Tonjolique Dabria James | Dentist | 950 E Belt Line Rd, Suite 130, Cedar Hill, TX 75104-2422 | 2007-06-01 |
| 1952492209 | Brandy Lynnette Yeary | Family Medicine | 950 E Belt Line Rd, Suite 100, Cedar Hill, TX 75104-2422 | 2006-09-28 |
| 1225003759 | Trinity Foot Center, P.C. | Durable Medical Equipment & Medical Supplies | 950 E Belt Line Rd, #110, Cedar Hill, TX 75104-2422 | 2006-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647613 | Maurice Leung | Optometrist | 305 W. Fm1382 Bldg 500, Suite 500, Cedar Hill, TX 75104 | 2020-07-30 |
| 1073156055 | Collier Family Dnetistry Pllc | Dentist | 918 E Pleasant Run Rd, Ste 120, Cedar Hill, TX 75104 | 2019-10-23 |
| 1760038061 | Shawn Brandon Fitzpatrick | Optometrist | 500, 305 E Farm To Market Rd., 1382 #500, Cedar Hill, TX 75104 | 2019-08-13 |
| 1487120093 | Daniel Max & Marcandrea, LLC | Optometrist | 401 J Elmer Weaver Fwy, Cedar Hill, TX 75104 | 2018-10-22 |
| 1386153567 | Professional Np Cares Inc | Family Medicine | 1438 Oxbow Dr., Cedar Hill, TX 75104 | 2017-09-20 |
| 1295273688 | Ikids Pediatric Dentistry Cedar Hill, Pllc | Dentist | 520 W. Fm 1382, Cedar Hill, TX 75104 | 2017-02-06 |
| 1598178568 | Meredith Lee Orseth | Dermatology | 610 Uptown Blvd Ste 102, Cedar Hill, TX 75104 | 2014-06-08 |
| 1295160943 | Cedar Hill Medical Center LLC | Clinic/Center | 850 Hwy 67 N, Cedar Hill, TX 75104 | 2013-09-12 |
| 1447699202 | Tammy Audrenia Clay | Registered Nurse | 1336 Boyd Street, Cedar Hill, TX 75104 | 2013-06-14 |
| 1205172020 | Felistar Ogechi Awhen | Licensed Vocational Nurse | 1277 Cedarhill, Cedarhill, TX 75104 | 2012-12-26 |
| Find all providers in zip 75104 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619137221 | Zena Dental Pllc | Clinic/Center | 445 E Fm 1382, Suite 6, Cedar Hill, TX 75104-6047 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR HILL |
| Zip Code | 75104 |
Please comment or provide details below to improve the information on TONJOLIQUE J. JACKSON DDS, PC.
| 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.