DR. JULIA LAMARRE JACKSON (NPI# 1649455882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649455882 |
| Entity Type | Individual |
| Full Name | DR. JULIA LAMARRE JACKSON |
| Credential | D.M.D |
| Practice Address |
4510 Frankford Ave Philadelphia PA 19124-3602 |
| Mailing Address |
432 N 6th St Philadelphia PA 19123-4004 |
| Practice Telephone | 2155351990 |
| Practice Fax Number | 2155351935 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159259162 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS038263 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215466453 | Julia Jackson | Social Worker | 900 Nw 8th Ave Ste H, Gainesville, FL 32601-5059 | 2017-06-10 |
| 1568627958 | Julia Rebecca Meyer Jackson | Optometrist | 723 S. Falls Blvd, Ste A, Wynne, AR 72396-0562 | 2008-07-24 |
| 1528570637 | Julia M Jackson | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2017-10-30 |
| 1629515358 | Julia Jackson | Physician Assistant | 1925 Pacific Ave Fl 8, Atlantic City, NJ 08401-6713 | 2017-01-19 |
| 1326416660 | Julia Jackson | Pharmacist | 2101 Collins Blvd, Covington, LA 70433-5673 | 2015-09-03 |
| 1629474259 | Julia Jackson | Physical Therapist | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2014-11-10 |
| 1588936579 | Julia Jackson | Counselor | 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 | 2012-02-06 |
| 1487662615 | Julia Steele Jackson | Physician Assistant | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2006-08-03 |
| 1407888068 | Julia Christine Jackson | Psychiatry & Neurology | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 | 2006-07-06 |
| Street Address |
4510 FRANKFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064015 | Andrew R Quint | Internal Medicine | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2006-02-27 |
| 1922650415 | Johnnie C Young Sr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-07-15 |
| 1265098768 | Katherine Ierardi | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124 | 2019-05-10 |
| 1306319504 | Christopher Aguilar | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-01-10 |
| 1831661362 | Kevin Williams Jr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-12-21 |
| 1508334186 | Danielle Mangiaracina | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-11-13 |
| 1518442086 | Christine J Kim | Dentist | 4510 Frankford Ave, Philadelphia, PA 19124 | 2018-10-01 |
| 1770080160 | Tiffany Filomena Interra | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-04-11 |
| 1770019481 | Patricia Richardson | Counselor | 4510 Frankford Ave, 2nd Floor, Philadelphia, PA 19124-3602 | 2017-05-02 |
| 1912447533 | Tiffany Reid | Nurse Practitioner | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| 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 |
|---|---|---|---|---|
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1962942771 | American Management Group | Dentist | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| 1457771545 | Diana Lin | Dentist | 2630 Holme Ave Ste 103, Philadelphia, PA 19152-3004 | 2014-04-16 |
| 1245554385 | Bryant Jones | Dentist | 8957 Roosevelt Blvd, Philadelphia, PA 19152-1312 | 2010-03-18 |
| 1962601773 | Daniel J Bowser | Dentist | 2327 Cottman Ave, Philadelphia, PA 19149-1008 | 2007-07-12 |
| 1396969036 | Franklyn Scott, D.d.s., P.C. | Dentist | 900 East Wadsworth Avenue, Philadelphia, PA 19150 | 2007-04-12 |
| 1073641148 | Delaware Valley Maxillofacial & Oral Surgery LLC | Dentist | 2301 E Allegheny Ave Ste 206, Philadelphia, PA 19134-4427 | 2007-03-01 |
| 1598805608 | Franklyn Scott | Dentist | 900 E Wadsworth Ave, Philadelphia, PA 19150-3417 | 2007-02-07 |
| 1881796985 | Ramin Bahram | Dentist | 2546 S Broad St, Philadelphia, PA 19145-4638 | 2006-09-01 |
| 1255381513 | Michael T Dachowski | Dentist | 2630 Holme Avenue, Suite 103, Philadelphia, PA 19152-1912 | 2006-05-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on DR. JULIA LAMARRE 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.