BRIAN JAMES JACKSON (NPI# 1770655979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770655979 |
| Entity Type | Individual |
| Full Name | BRIAN JAMES JACKSON |
| Credential | DDS |
| Practice Address |
3924 Martin Way E Olympia WA 98506-5220 |
| Practice Telephone | 3604568610 |
| Practice Fax Number | 3604938179 |
| Mailing Telephone | 3604568610 |
| Mailing Fax Number | 3604938179 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
6128 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5030374 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198659 | Brian John Jackson | Physician Assistant | 391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 | 2018-09-19 |
| 1316482425 | Brian Keith Jackson | Community Health Worker | 3714 Ruffin Rd, North Prince George, VA 23860-8629 | 2016-12-28 |
| 1346610011 | Brian Jackson | Counselor | 3008 Conmar St, Shreveport, LA 71108 | 2015-10-06 |
| 1255421855 | Brian R Jackson | Pathology | 500 E Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-10-13 |
| 1467497461 | Brian D Jackson | Allergy & Immunology | 151 Harmony Park Circle, Hot Springs, AR 71913 | 2006-06-17 |
| 1689665408 | Brian E Jackson | Dentist | 2775 Bishop Rd, Suite C, Willoughby Hills, OH 44092-2683 | 2005-11-01 |
| 1306842356 | Brian D Jackson | Podiatrist | 1215 Hatcher Ln, Columbia, TN 38401-3531 | 2005-06-23 |
| 1477150738 | Brian Leslie Jackson | Registered Nurse | 2751 Napa Valley Corporate Dr Bldg B, Napa, CA 94558-6216 | 2020-10-08 |
| 1558973115 | Brian Lee Jackson | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-17 |
| 1174080030 | Brian Jeffry Jackson | Nurse Practitioner | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2019-02-27 |
| Street Address |
3924 MARTIN WAY E |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447122 | Oral Surgery Associates Inc. | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-04-19 |
| 1912079112 | Gerald George Dolgash | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760447122 | Oral Surgery Associates Inc. | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-04-19 |
| 1912079112 | Gerald George Dolgash | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653197 | Matthew Callan Dds Pllc | Dentist | 2530 Perry Ave Ste 100, Bremerton, WA 98310-5219 | 2019-01-17 |
| 1427373869 | Cazan & Menke Pllc | Dentist | W. 13326 14th Street, Airway Heights, WA 99001 | 2010-03-29 |
| 1982662482 | Scott Clayhold | Dentist | 22605 Se 56th St, Ste. 110, Issaquah, WA 98029-5289 | 2006-05-03 |
| 1841252996 | Mark Richard Gleisner | Dentist | 2 Nd Floor Bldg 9900, Attn: Credentials Office, Tacoma, WA 98431-0001 | 2006-04-04 |
| 1326303298 | Julia Yu Fong Chang | Dentist | 1959 Ne Pacific St, Room B-202, Seattle, WA 98195-7133 | 2012-07-06 |
| 1942410436 | Oral Surgery Plus P.s. | Dentist | 123 W Francis Ave, Suite 101, Spokane, WA 99205-6348 | 2007-05-23 |
| 1598974339 | Darrell Rick Edwards | Dentist | 2345 Sw 320th St, Federal Way, WA 98023-2568 | 2007-05-21 |
| 1760542153 | Darrell K. Tew | Dentist | 1703 Creekside Loop, Suite 100, Yakima, WA 98902-4875 | 2006-12-08 |
| 1275691198 | Ralph K Zech II | Dentist | 1229 Madison St, Suite 1020, Seattle, WA 98104-3586 | 2006-12-04 |
| 1720154404 | Neal Oral & Maxillofacial Surgery | Dentist | 509 Olive Way, Suite 1207, Seattle, WA 98101 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
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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.