SARA JACKSON (NPI# 1710546106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710546106 |
| Entity Type | Individual |
| Full Name | SARA JACKSON |
| Credential | DDS |
| Practice Address |
8217 Wicker Ave Saint John IN 46373-8878 |
| Practice Telephone | 2193229920 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12013150A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713926 | Sara Jackson | Behavior Technician | 15 Seagroves St, Wilton, NH 03086 | 2020-02-26 |
| 1194342436 | Sara Jackson | Social Worker | 2029 Buchanan St, Kansas City, MO 64116 | 2020-07-02 |
| 1023632080 | Sara Anne Pili Jackson | Counselor | 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 | 2020-06-04 |
| 1689223646 | Sara L Jackson | Registered Nurse | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2019-09-11 |
| 1629560495 | Sara Elizabeth Jackson | Behavior Technician | 231 Se Barrington Dr Ste 203, Oak Harbor, WA 98277-3200 | 2018-06-06 |
| 1548758972 | Sara Michelle Jackson | Behavior Technician | 6210 75th St W Ste B100, Lakewood, WA 98499-8109 | 2018-05-01 |
| 1992205108 | Sara Izora Jackson | Social Worker | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-02-14 |
| 1295123602 | Sara Jackson | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2015-01-07 |
| 1013312487 | Sara Ann Jackson | Registered Nurse | 1969 W Hart Rd, Beloit Health System Inc, Beloit, WI 53511-2230 | 2014-10-28 |
| 1114366945 | Sara W. Jackson | Occupational Therapist | 1201 Broad Rock Blvd, Pm&r/117, Richmond, VA 23249-0001 | 2013-06-14 |
| Street Address |
8217 WICKER AVE |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-8878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811162605 | Smile Solutions Inc | Dentist | 8217 Wicker Ave, Saint John, IN 46373-8878 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1932521762 | Linda Joy Zandstra | Registered Nurse | 8400 Wicker Ave, Lake Central High School, St. John, IN 46373 | 2014-01-14 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275604670 | Robert M Modrowski | Dentist | 9495 Keilman St, Saint John, IN 46373-8924 | 2006-11-10 |
| 1912099706 | Joe Rosenberg D.d.s., P.a. | Dentist | 307 E 3rd Ave, Saint John, KS 67576-2014 | 2006-09-29 |
| 1104886563 | Joseph Orley Rosenberg | Dentist | 205 N Santa Fe St, Saint John, KS 67576-2029 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
Please comment or provide details below to improve the information on SARA 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.