DR. THOMAS MATTHEW JACKS (NPI# 1568442820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568442820 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MATTHEW JACKS |
| Credential | DDS |
| Practice Address |
2650 Suzanne Way Ste 110 Eugene OR 97408-7619 |
| Mailing Address |
34362 Deerwood Dr Eugene OR 97405-9662 |
| Practice Telephone | 5417264690 |
| Mailing Telephone | 3019430945 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D10665 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | TAX ID | 823753470 | 01 |
| Street Address |
2650 SUZANNE WAY STE 110 |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-7619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457699142 | Bryan Christopher Williams | Dentist | 330 S Garden Way Ste 140, Eugene, OR 97401 | 2013-01-30 |
| 1437157377 | Gerald Alan Harper | Dentist | 2650 Suzanne Way, Suite 110, Eugene, OR 97408-7319 | 2005-07-13 |
| 1952882185 | Northwest Oral and Implant Surgery | Dentist | 911 Country Club Rd Ste 100, Eugene, OR 97401-6045 | 2018-08-25 |
| 1437444866 | Kevin C. Sweeney | Dentist | 911 Country Club Rd Ste 100, Eugene, OR 97401-6045 | 2011-06-14 |
| 1619025988 | Kae S.c. Cheng | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2007-01-05 |
| 1114098365 | John E Villano | Dentist | 2233 Willamette St, Bldg G, Eugene, OR 97405-2890 | 2006-11-10 |
| 1619981859 | Todd S Tucker | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401 | 2006-07-27 |
| 1386667434 | Brian M Allender | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401 | 2006-07-26 |
| 1427071661 | Colin Kipp Hammon | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401 | 2006-07-26 |
| 1447271655 | Oregon Oral and Implant Surgeons P.C. | Dentist | 330 S Garden Way, Suite 140, Eugene, OR 97401-8176 | 2006-07-22 |
| Find all providers in EUGENE | ||||
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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.