JAMES ANDREW JACKSON, DDS, PLLC (NPI# 1417339185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417339185 |
| Entity Type | Organization |
| Organization Name | JAMES ANDREW JACKSON, DDS, PLLC |
| Other Organization Name | JACKSON FAMILY DENTISTRY |
| Practice Address |
9035 E Sandidge Rd Ste 100 Olive Branch MS 38654-3563 |
| Mailing Address |
9035 East Sandidge Rd, Suite 100 Olive Branch MS 38654 |
| Practice Telephone | 6628957338 |
| Practice Fax Number | 6628957040 |
| Mailing Telephone | 6628957338 |
| Mailing Fax Number | 6628957040 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | DR. JAMES ANDREW JACKSON (O) |
| Authorized Official Telephone | 6628957338 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3811-15 | MS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Jackson Family Dentistry | Other Name - Individual/Organization |
| Street Address |
9035 E SANDIDGE RD STE 100 |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114309408 | Shelby Dene Blaylock | Dentist | 9035 E Sandidge Rd Ste 100, Olive Branch, MS 38654-3563 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| 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 |
|---|---|---|---|---|
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1376883199 | Windstone Dental LLC | Dentist | 4824 Goodman Rd, Olive Branch, MS 38654-7950 | 2013-02-15 |
| 1841495736 | Randy Alexander Curbo | Dentist | 8173 Highway 178, Olive Branch, MS 38654-1172 | 2007-06-19 |
| 1346380151 | L Gregory Evans | Dentist | 8929 Mid South Ave, Olive Branch, MS 38654 | 2007-02-08 |
| 1265090443 | Goodman Road Dental Pllc | Dentist | 7271 Goodman Rd, Olive Branch, MS 38654-1906 | 2019-06-03 |
| 1114309408 | Shelby Dene Blaylock | Dentist | 9035 E Sandidge Rd Ste 100, Olive Branch, MS 38654-3563 | 2015-06-23 |
| 1417351289 | Siffrard Family Dentistry, Pllc | Dentist | 6760 Goodman Rd, Olive Branch, MS 38654 | 2014-10-22 |
| 1548607120 | Janita Alexander | Dentist | 6760 Goodman Rd, Olive Branch, MS 38654-7056 | 2013-05-23 |
| 1306086954 | Dream Team Family Dentistry, Pllc | Dentist | 6760 Goodman Rd, Olive Branch, MS 38654 | 2009-02-23 |
| 1083884233 | Terry Stubblefield | Dentist | 8935 Goodman Rd, Olive Branch, MS 38654-2201 | 2008-03-04 |
| Find all providers in OLIVE BRANCH | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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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.