DR. JOHN ANDREW JACKSON


Address: 600 Division Ave, Suite E., San Antonio, TX 78214-1350
Phone: 2109244279

DR. JOHN ANDREW JACKSON (NPI# 1720162779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720162779
Entity Type Individual
Full Name DR. JOHN ANDREW JACKSON
Credential D.D.S.
Practice Address 600 Division Ave
Suite E.
San Antonio
TX 78214-1350
Practice Telephone 2109244279
Practice Fax Number 2109244270
Mailing Telephone 2109244279
Mailing Fax Number 2109244270
Enumeration Date 2006-10-25
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D14522 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TAX ID 742713545 01
TX UNITED CONCORDIA 784161 01
TX 1306300-05 05

Other Providers JOHN JACKSON

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1508236837 John Willard Jackson Anesthesiology 7857 Caruth Ct, Dallas, TX 75225-8133 2015-09-29
1043572035 John Ferndale Jackson Behavioral Analyst 931 Azure Heights Place, Las Vegas, NV 89110 2012-06-14
1679830558 John Michael Jackson Pharmacist 1000 Castlebay, Cincinnati, OH 45245-4910 2012-04-18
1013043553 John Phillip Jackson Occupational Therapist 7810 Avenue U Apt B, Lubbock, TX 79423-2430 2007-02-26
1275673451 John W Jackson Pharmacist 1667 Bellemeade Dr, Altoona, PA 16602-7402 2007-02-07

Office Location

Street Address 600 DIVISION AVE
SUITE E.
City SAN ANTONIO
State TX
Zip Code 78214-1350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225335839 Karishma Patel Yakkala Chiropractor 600 Division Ave, Suite G, San Antonio, TX 78214-1350 2011-02-16
1699925560 Alma L. Aguado, M.d., P.a. Internal Medicine 600 Division Ave, Suite G, San Antonio, TX 78214-1350 2008-09-26
1104049832 Jesus Peralez Jr. Dentist 600 Division Ave, San Antonio, TX 78214-1350 2007-04-11
1750409686 Pan Am Dental Lp Clinic/Center 600 Division Ave, Suite A, San Antonio, TX 78214-1350 2007-03-27
1487710091 Alma L Aguado Internal Medicine 600 Division Ave, Suite G, San Antonio, TX 78214-1350 2006-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104380245 Mission Event Senior Center LLC Clinic/Center 5614 South Flores Street, San Antonio, TX 78214 2019-01-23
1396239497 Allen Ray Williams II Chiropractor 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 2018-06-21
1326482027 Rolando Gonzalez Specialist/Technologist, Other 1131 91st St, San Antonio, TX 78214 2013-04-24
1235425463 Roberto Issac Cortez Dentist 3454 Roosevelt Avenue, San Antonio, TX 78214 2011-06-27
1104110501 Mission Plaza Dental Pllc Dentist 3454 Roosevelt Ave., San Antonio, TX 78214 2011-06-02
1982904561 Amir Ahmed Pharmacist 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 2010-10-28
1962734160 J. Andrew Jackson, D.d.s. Ltd., LLP Dentist 600 Division, Suite E., San Antonio, TX 78214 2010-02-12
1881805653 Bruce Lee Vetters Dentist 6619 S Flores, San Antonio, TX 78214 2007-05-24
1053403147 John D Cochran Dds Inc Dentist 5713 South Flores, San Antonio, TX 78214 2006-09-28
1306945415 Idalia Ivanna Benavides Specialist 161 Tommins Ave., San Antonio, TX 78214 2006-09-22
Find all providers in zip 78214

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568080497 San Antonio Wisdom Teeth, Pllc Dentist 13535 Hausman Pass #102-a, San Antonio, TX 78249 2020-07-07
1023596061 Albert L. Ouellette, Dds, Pllc Dentist 1202 E Sonterra Blvd Ste 801, San Antonio, TX 78258-4095 2018-08-01
1154726131 Rafael Antonio Gavilanes Dentist 1005 Ave General Ramey Ste 1, San Antonio, PR 00690 2014-11-03
1952710949 Ryan M Leonhart Dds Md Pllc Dentist 6530 W Loop 1604 N, Suite 101, San Antonio, TX 78254-6319 2014-08-05
1023424090 Jabir Alhumaid Dentist 7703 Floyd Curl Dr # Mc7908, Oral and Maxillofacial Surgery Uthscsa, San Antonio, TX 78229-3901 2014-07-10
1013292614 Glen A Fritz Dentist 16789 N Us Highway 281, Your Ortho Team, PC, San Antonio, TX 78232-2349 2011-10-14
1699065383 Patricia E. Lopez Dentist 7703 Floyd Drive - Dept. Oral & Maxillofacial Surgery, University of Texas Health Science Center At San Antoni, San Antonio, TX 78229-3900 2011-04-14
1962734160 J. Andrew Jackson, D.d.s. Ltd., LLP Dentist 600 Division, Suite E., San Antonio, TX 78214 2010-02-12
1508097817 Daniel Enrique Perez Dentist 8210 Floyd Curl Dr Dept Oral, San Antonio, TX 78229-3923 2009-08-04
1871787291 Adam Joseph Verrett Dentist 4499 Medical Dr Ste 190, San Antonio, TX 78229-3768 2007-08-29
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78214

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Dataset Information

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.

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