DR. E PENN JACKSON JR. (NPI# 1699864140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699864140 |
| Entity Type | Individual |
| Full Name | DR. E PENN JACKSON JR. |
| Credential | DDS |
| Practice Address |
155 E Sonterra Blvd #205 San Antonio TX 78258 |
| Practice Telephone | 2103413222 |
| Practice Fax Number | 2103418607 |
| Mailing Telephone | 2103413222 |
| Mailing Fax Number | 2103418607 |
| Enumeration Date | 2006-10-12 |
| 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 | 14069 | TX | Dental Providers |
| Street Address |
155 E SONTERRA BLVD #205 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235128240 | Stone Oak Rheumatology Pa | Internal Medicine | 155 E Sonterra Blvd, Suite 211, San Antonio, TX 78258-3987 | 2005-10-21 |
| 1558800144 | Ageless Men's Health Holdings, LLC | Specialist | 155 E Sonterra Blvd, Suite 101, San Antonio, TX 78258-3987 | 2017-02-16 |
| 1548702582 | Woods R. Woolwine IIi, Dds, Pllc | Preferred Provider Organization | 155 E Sonterra Blvd, Ste 205, San Antonio, TX 78258-3987 | 2016-11-08 |
| 1881070753 | Hill Country Electrodiagnostics Pllc | Physical Therapist | 155 E Sonterra Blvd, 211, San Antonio, TX 78258-3987 | 2015-08-03 |
| 1598174427 | R Brent Jackson Do Pa | Orthopaedic Surgery | 155 E Sonterra Blvd, Suite 211, San Antonio, TX 78258-3987 | 2014-08-05 |
| 1295923274 | Scott L Sledge, Md Pa | Specialist | 155 E Sonterra Blvd, Suite 211, San Antonio, TX 78258-3987 | 2007-10-04 |
| 1730302779 | Margaret H Fernandez | Nurse Practitioner | 155 E Sonterra Blvd, Suite 105, San Antonio, TX 78258-3987 | 2007-04-10 |
| 1780807966 | Cirujanos De Corazon Associates | Specialist | 155 E Sonterra Blvd, Suite 201, San Antonio, TX 78258-3987 | 2007-04-10 |
| 1881711133 | Amanda Bucheit | Internal Medicine | 155 E Sonterra Blvd, Suite 200, San Antonio, TX 78258-3987 | 2007-03-23 |
| 1104930361 | Scott Linden Sledge | Orthopaedic Surgery | 155 E Sonterra Blvd, Suite 211, San Antonio, TX 78258-3987 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| 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 |
|---|---|---|---|---|
| 1417555780 | Tpc Dental Care PC | Dentist | 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 | 2020-10-09 |
| 1144831629 | Eduardo Marmelstein Lima | Dentist | 7072 Bandera Rd, San Antonio, TX 78238-1201 | 2020-08-10 |
| 1255954525 | Wecare Family Dentistry Cosmetic & Dental Center Pllc. | Dentist | 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 | 2020-05-21 |
| 1255951802 | Smilegivers Professional Corporation | Dentist | 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 | 2020-04-23 |
| 1114555687 | Yvette Alexis Martinez | Dentist | 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 | 2020-03-31 |
| 1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
| 1235761008 | Estrella and Rodrigo Dds Pllc | Dentist | 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 | 2020-02-10 |
| 1043854995 | Sa Smiles, Pllc | Dentist | 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 | 2019-11-04 |
| 1740839828 | Hunter Ryan Acord | Dentist | 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 | 2019-09-10 |
| 1922653518 | Potranco Dentistry, PC | Dentist | 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 | 2019-08-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.