DR. JACKSON TERRY DEVINE SR. (NPI# 1346492451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346492451 |
| Entity Type | Individual |
| Full Name | DR. JACKSON TERRY DEVINE SR. |
| Credential | D.D.S. |
| Practice Address |
1504 Mistletoe Lane Pantego TX 76013 |
| Practice Telephone | 8174607581 |
| Practice Fax Number | 8174601011 |
| Mailing Telephone | 8174607581 |
| Mailing Fax Number | 8174601011 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7028 | TX | Dental Providers |
| Street Address |
1504 MISTLETOE LANE |
| City | PANTEGO |
| State | TX |
| Zip Code | 76013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821619941 | Archie Dental Pllc | Dentist | 2208 W Park Row Dr Ste 102, Pantego, TX 76013-7408 | 2020-04-29 |
| 1740718808 | Uyen Vo, Pllc | Dentist | 3008 W Park Row Dr Ste A, Pantego, TX 76013-2050 | 2017-06-01 |
| 1720279680 | Daniel Louis Ferraro | Dentist | 1810 S Bowen Rd, Suite A, Pantego, TX 76013-3340 | 2007-08-06 |
| 1528185832 | Robert Ray Romack | Dentist | 2208 W Park Row Dr Ste 112, Pantego, TX 76013-3491 | 2007-03-23 |
| 1912094749 | Ravi Vasant Doctor | Dentist | 1810 South Bowen Road Suite #a, Pantego, TX 76013 | 2006-10-05 |
| 1619372547 | Prachi D Shah Dds PC | Dentist | 2313 W Arkansas Ln, Suite 111, Pantego, TX 76013-6064 | 2014-11-04 |
| 1033377437 | Ronald J. Morlock, Dds, Inc. | Dentist | 2313 W Arkansas Ln, #111, Pantego, TX 76013-6064 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 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.