DR. DAVID CRESTON JACKSON (NPI# 1790089860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790089860 |
Entity Type | Individual |
Full Name | DR. DAVID CRESTON JACKSON |
Credential | D.M.D. |
Practice Address |
900 Se Ocean Blvd Ste 110b Stuart FL 34994-3503 |
Practice Telephone | 7722472407 |
Mailing Telephone | 7722472407 |
Enumeration Date | 2011-01-05 |
Last Update Date | 2017-10-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | DN19084 | FL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
1366544322 | David Max Jackson | Speech-Language Pathologist | 81 Peregrine Ct, W Lafayette, IN 47906-5073 | 2006-09-01 |
Street Address |
900 SE OCEAN BLVD STE 110B |
City | STUART |
State | FL |
Zip Code | 34994-3503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588187819 | Balanced Dental | Clinic/Center | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2017-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
Find all providers in zip 34994 |
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 |
---|---|---|---|---|
1669017430 | Tdc Stuart,llc | Dentist | 5920 Se Federal Hwy, Stuart, FL 34997-7850 | 2019-11-15 |
1619539566 | Hayley Rodgers | Dentist | 5150 Se Harrold Ter, Stuart, FL 34997-6913 | 2019-07-01 |
1952782989 | Dalia Al-azzawi | Dentist | 5905 Se Federal Hwy, Stuart, FL 34997-7871 | 2015-06-16 |
1770987190 | Stuart Family Dentistry, Inc. | Dentist | 2385 Se Federal Hwy, Stuart, FL 34994-4528 | 2014-10-14 |
1629413133 | Christina Tseng | Dentist | 3951 Se Federal Hwy, Stuart, FL 34997-4900 | 2013-05-10 |
1609219542 | Sage Dental of Stuart, Pllc | Dentist | 4203 Se Federal Hwy, Suite 102, Stuart, FL 34997-4925 | 2013-04-10 |
1043586779 | Stuart Pediatric Dentistry, P.a. | Dentist | 800 Se Ocean Blvd, Suite A, Stuart, FL 34994-2448 | 2012-03-27 |
1003086612 | Ajay R. Singh | Dentist | 2474 S Federal Hwy, Stuart, FL 34994-4531 | 2008-03-11 |
1447457874 | William James Bohen | Dentist | 5761 Se Federal Hwy, Stuart, FL 34997-8545 | 2007-06-29 |
1619184249 | Robert C Flanary | Dentist | 902 Nw Sunset Ter, Stuart, FL 34994-7621 | 2007-05-16 |
Find all providers in STUART |
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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.