MR. TERRY L JACKSON (NPI# 1588736771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588736771 |
| Entity Type | Individual |
| Full Name | MR. TERRY L JACKSON |
| Credential | DDS |
| Practice Address |
121 West Main Street Watertown TN 37184 |
| Practice Telephone | 6152373631 |
| Practice Fax Number | 6152379906 |
| Mailing Telephone | 6152373631 |
| Mailing Fax Number | 6152379906 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4316 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056871 | Terry Lynn Jackson | Nurse Practitioner | 4922 General Ashley Dr, Bossier City, LA 71112-4764 | 2020-09-02 |
| 1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
| 1235569849 | Terry Jackson | Respite Care | 6605 S 18th Dr, Phoenix, AZ 85041-5841 | 2013-11-18 |
| 1790281830 | Terry L. Jackson | Registered Nurse | 2052 S Dye Rd, Flint, MI 48532-4122 | 2018-04-05 |
| 1447590468 | Terry Elizabeth Jackson | Counselor | 6801 Us Highway 27 N, Suite A2, Sebring, FL 33870-7840 | 2013-02-28 |
| 1811067606 | Terry Lewis Jackson | Counselor | 17 W Water St, Pinckneyville, IL 62274-1027 | 2006-11-08 |
| 1932106234 | Terry S Jackson | Internal Medicine | 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 | 2005-06-30 |
| Street Address |
121 WEST MAIN STREET |
| City | WATERTOWN |
| State | TN |
| Zip Code | 37184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386109668 | Impact Physical Therapy LLC | Physical Therapist | 7295 Sparta Pike, Watertown, TN 37184 | 2019-01-31 |
| 1407102155 | Erica Rae Barnes | Psychologist | 3400 Lebanon Pike (116b), Murfreesboro, TN 37184 | 2012-07-31 |
| 1679037857 | Stephanie Bess | Behavior Technician | 121 Waters Ave, Watertown, TN 37184-1227 | 2019-01-22 |
| 1467947077 | Cameron Keith Spaulding | Dentist | 121 W Main St, Watertown, TN 37184-1314 | 2018-06-26 |
| 1669608733 | Watertown Drugs, Inc | Pharmacy | 406 Public Sq, Watertown, TN 37184-1421 | 2009-06-03 |
| 1346883568 | Carl Newton | Specialist/Technologist | 9360 Sparta Pike, Watertown, TN 37184-1428 | 2019-10-21 |
| 1275191645 | Calicia Jean Moss | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2019-05-31 |
| 1346866365 | Therapy Abode LLC | Occupational Therapist | 6157 Greenvale Rd, Watertown, TN 37184-3812 | 2020-06-25 |
| 1144839549 | Kristin Nicole Hill | Nurse Practitioner | 2813 Bell Rd, Watertown, TN 37184-4716 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1922606912 | Shaelynn Marie Miller | Licensed Practical Nurse | 22479 Echo Dr, Watertown, NY 13601-9334 | 2020-10-13 |
| 1942807268 | Kristine Marie Loomis | Massage Therapist | 41 Crestview Dr, Watertown, CT 06795-1814 | 2020-10-09 |
| 1760089163 | Progressive Therapy LLC | Occupational Therapist | 1027 2nd St Nw, Watertown, SD 57201-1301 | 2020-10-08 |
| 1952918187 | Evis Myftiu | Dentist | 151 Coolidge Ave Apt 213, Watertown, MA 02472-2865 | 2020-10-01 |
| 1104433820 | Jennifer Blaze Laclair | Nurse Practitioner | 26561 State Route 3, Watertown, NY 13601-1749 | 2020-09-27 |
| 1831705904 | New Moon Acupuncture Pllc | Preventive Medicine | 557 Mount Auburn St Ste 2, Watertown, MA 02472-4102 | 2020-09-23 |
| 1730795147 | Suong Bui | Student in an Organized Health Care Education/Training Program | 141 Breen Ave, Watertown, NY 13601-7394 | 2020-09-21 |
| 1508472994 | Woodcraft Design Build Inc | Contractor | 141 Lewis Ave S Apt 102, Watertown, MN 55388-4602 | 2020-09-21 |
| Find all providers in WATERTOWN | ||||
| 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 |
|---|---|---|---|---|
| 1952918187 | Evis Myftiu | Dentist | 151 Coolidge Ave Apt 213, Watertown, MA 02472-2865 | 2020-10-01 |
| 1225659352 | Cassandra Dae Hammen | Dentist | 1149 Boughton St Unit B, Watertown, WI 53094-3104 | 2020-04-29 |
| 1225662349 | Nikhita Somalinga Amardeep | Dentist | 151 Coolidge Ave Apt 204, Watertown, MA 02472-2865 | 2020-02-27 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1609366251 | Itagegnehou Gedamu | Dentist | 20991 Arsenal Street Rd # Ny-3, Watertown, NY 13601-4552 | 2018-05-18 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1083091664 | Maryam Akbari | Dentist | 49 Edgecliff Rd, Watertown, MA 02472-3545 | 2015-05-02 |
| 1174934574 | Leeann Diercks | Dentist | 20 19th St Se, Watertown, SD 57201-3938 | 2014-05-19 |
| 1629494992 | Anna Vishart | Dentist | 358 Charles River Rd, Watertown, MA 02472-2737 | 2014-03-11 |
| 1063836633 | Comfort Dental of Watertown LLC | Dentist | 171 Watertown St, Watertown, MA 02472-2571 | 2014-02-18 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on MR. TERRY L JACKSON.
| 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.