JEFFREY R JAICKS DDS LLC (NPI# 1548323389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548323389 |
| Entity Type | Organization |
| Organization Name | JEFFREY R JAICKS DDS LLC |
| Practice Address |
171 W Coshocton Street Johnstown OH 43031 |
| Practice Telephone | 7409671444 |
| Practice Fax Number | 7409672610 |
| Mailing Telephone | 7409671444 |
| Mailing Fax Number | 7409672610 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY RUSSELL JAICKS (DENTIST) |
| Authorized Official Telephone | 7409671444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21277 | OH | Dental Providers |
| Street Address |
171 W COSHOCTON STREET |
| City | JOHNSTOWN |
| State | OH |
| Zip Code | 43031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209479 | Cindy Wolt Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2012-10-15 |
| 1336473701 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 W Coshocton St, Johnstown, OH 43031 | 2009-10-01 |
| 1114091915 | Brian J Walsh Dds Inc | Dentist | 370 West Coshocton St, Johnstown, OH 43031 | 2006-11-20 |
| 1679536932 | Suellywn Stewart | Family Medicine | 151 Woodgate Dr, Johnstown, OH 43031 | 2006-04-08 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1982095808 | Cindy Wolt Dds Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2015-02-13 |
| 1154400521 | Elissa Ruth Gonidakis | Speech-Language Pathologist | 267 N Main St, Johnstown, OH 43031 | 2006-11-04 |
| 1831482090 | Sally Jean Blubaugh | Registered Nurse | 206 Edwards Rd, Johnstown, OH 43031-1060 | 2011-05-20 |
| 1114484615 | Robin E Jones | Occupational Therapy Assistant | 508 Cole Dr, Johnstown, OH 43031-1088 | 2019-02-21 |
| 1982805180 | Jefrey Russell Jaicks | Dentist | 171 W Coshocton St, Johnstown, OH 43031-1108 | 2007-05-29 |
| Find all providers in zip 43031 | ||||
| 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 |
|---|---|---|---|---|
| 1215410949 | Kristen Mackenzie Goble | Dentist | 1433 Mary Dr, Johnstown, PA 15905-1945 | 2018-09-09 |
| 1417209479 | Cindy Wolt Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2012-10-15 |
| 1548557689 | Roza Shayesteh | Dentist | 848 W Coshocton St, Johnstown, OH 43031-9587 | 2011-07-08 |
| 1396039285 | Matthew R Sroka | Dentist | 1736 Lyter Dr, Johnstown, PA 15905-1206 | 2011-06-08 |
| 1720273907 | Brian J Walsh | Dentist | 370 W Coshocton St, Johnstown, OH 43031-1113 | 2007-09-11 |
| 1982805180 | Jefrey Russell Jaicks | Dentist | 171 W Coshocton St, Johnstown, OH 43031-1108 | 2007-05-29 |
| 1003021734 | Gerald Lewis Fisher | Dentist | 2690 William Penn Ave, Suite 3, Johnstown, PA 15909-1029 | 2007-05-14 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1639232564 | George Monios | Dentist | 121 Town Centre Dr, Johnstown, PA 15904-2824 | 2006-12-19 |
| 1255409280 | Jack R Lazer | Dentist | 105 Mccort Pl, Johnstown, PA 15904-1303 | 2006-11-30 |
| Find all providers in JOHNSTOWN | ||||
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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.