JOSEPH C. JACKSON, JR., DDS, PA (NPI# 1710109756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710109756 |
| Entity Type | Organization |
| Organization Name | JOSEPH C. JACKSON, JR., DDS, PA |
| Other Organization Name | JACKSON ORTHODONTICS |
| Practice Address |
8250 Bryan Dairy Rd #325 Largo FL 33777-1353 |
| Practice Telephone | 7273970353 |
| Practice Fax Number | 7273975773 |
| Mailing Telephone | 7273970353 |
| Mailing Fax Number | 7273975773 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSEPH C. JACKSON JR. (ORTHODONTIST) |
| Authorized Official Telephone | 7273970353 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN5413 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | DN5413 | 01 |
| FL | BCBS | 85760 | 01 |
| Other Name | Type Code |
|---|---|
| Jackson Orthodontics | Doing Business As Name - Organization |
| Street Address |
8250 BRYAN DAIRY RD #325 |
| City | LARGO |
| State | FL |
| Zip Code | 33777-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389045 | Ira Brant Azneer | Internal Medicine | 8250 Bryan Dairy Rd, Suite 310, Largo, FL 33777-1353 | 2005-07-11 |
| 1982075339 | Loren Anderson | Nurse Practitioner | 8250 Bryan Dairy Rd, Suite 200, Largo, FL 33777-1353 | 2015-10-12 |
| 1790193100 | Bilal Aslam | Internal Medicine | 8250 Bryan Dairy Rd, Largo, FL 33777-1353 | 2014-07-29 |
| 1427395334 | Beth Anlas, D.o. Pa. | Specialist | 8250 Bryan Dairy Rd, Suite 310, Largo, FL 33777-1353 | 2013-01-11 |
| 1528327087 | West Coast Primary Care, LLC | Internal Medicine | 8250 Bryan Dairy Rd, Suite 305, Largo, FL 33777-1353 | 2012-05-03 |
| 1891051587 | Reach Orthopaedics Pa | Orthopaedic Surgery | 8250 Bryan Dairy Rd, 300, Largo, FL 33777-1353 | 2012-04-06 |
| 1922319227 | Tbr Anesthesia | Anesthesiology | 8250 Bryan Dairy Rd, Suite 200, Largo, FL 33777-1353 | 2010-07-01 |
| 1083845622 | Melissa Leeann Lahmeyer | Acupuncturist | 8250 Bryan Dairy Rd, Suite 200, Largo, FL 33777-1353 | 2009-07-30 |
| 1871723700 | Beth Ellen Anlas | Internal Medicine | 8250 Bryan Dairy Rd, Suite 310, Largo, FL 33777-1353 | 2009-07-27 |
| 1831360361 | Back-2-life of Florida, Inc. | Chiropractor | 8250 Bryan Dairy Rd, Suite#310, Largo, FL 33777-1353 | 2008-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1922585405 | Patricia Ann Nickol | Developmental Therapist | 8988, 79th Ave N, Seminole, FL 33777 | 2018-07-26 |
| 1558748855 | Angel Flights, LLC | Ambulance | 10294 Shady Oak Lane, Seminole, FL 33777 | 2015-05-06 |
| 1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
| 1699024596 | Betsy Silverio | Social Worker | 8700 Flamevine Ave, Seminole, FL 33777 | 2012-09-06 |
| 1881965655 | Kayte Clifford | Speech-Language Pathologist | 9035 Bryan Dairy Road, Largo, FL 33777 | 2012-01-25 |
| 1750666913 | Lawrence Daniel Williams | Surgery | 8235 Lapin Ct., Seminole, FL 33777 | 2011-10-19 |
| 1033433107 | Josephine C Eligado | Anesthesiology | 8764 Baywood Park Drive, Seminole, FL 33777 | 2010-03-18 |
| 1811222847 | Clearwater Surgical Associates, Pllc | Surgery | 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 | 2009-10-08 |
| 1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
| Find all providers in zip 33777 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447520804 | Melvyn Weinstock Dds Phd Plc | Dentist | 8588 Starkey Rd Ste C, Largo, FL 33777-2831 | 2012-01-03 |
| 1346427820 | Robert K Mensah | Dentist | 1401 Mercantile Ln Ste 102, Largo, MD 20774 | 2008-01-27 |
| 1184760613 | Albert S. Bacon | Dentist | 932 Largo Center Dr, Largo, MD 20774-3704 | 2007-01-30 |
| 1821000795 | L. Ruth Berry, Dmd, Pa | Dentist | 168 14th St Sw, Suite A, Largo, FL 33770-6103 | 2006-08-12 |
| 1528447877 | Ramiro Morales | Dentist | 8588 Starkey Rd, Suite C, Largo, FL 33777 | 2015-05-20 |
| 1912202508 | Larosiliere Dental Associates | Dentist | 1401 Mercantile Ln, 102, Largo, MD 20774-4301 | 2011-01-13 |
| 1033396353 | Lillian Ruth Berry | Dentist | 168 14th St Sw, Suite A, Largo, FL 33770-6103 | 2008-01-29 |
| 1952446148 | Alan D. Shoopak D.m.d.,p.a. | Dentist | 7500 Bryan Dairy Rd, Largo, FL 33777-1437 | 2007-02-21 |
| 1194734293 | Melvyn Weinstock | Dentist | 8588 Starkey Rd, Ste C, Largo, FL 33777-2831 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1366056848 | Brandon Lee Zipper | Dentist | 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 | 2020-09-02 |
| 1851903298 | Ocoee Dental & Orthodontics, P.a. | Dentist | 2910 Maguire Rd Ste 1005, Ocoee, FL 34761-4742 | 2020-08-18 |
| 1700411857 | Imagine Orthodontic Studio Pllc | Dentist | 3595 S Florida Ave, Lakeland, FL 33803-4860 | 2020-03-10 |
| 1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1700421344 | Lindsay A Ringdahl Dmd Ms Pa | Dentist | 85 Weston Rd Unit 102, Weston, FL 33326-1158 | 2019-11-07 |
| 1942844493 | Daniel R Camacho | Dentist | 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 | 2019-10-28 |
| 1982247102 | Thebis A. Franceschi | Dentist | 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 | 2019-10-21 |
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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.