DR. DAVID CRESTON JACKSON


Address: 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503
Phone: 7722472407

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DN19084 FL Dental Providers

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1629165170 David Michael Jackson Dentist 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 2006-10-06
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Office Location

Street Address 900 SE OCEAN BLVD STE 110B
City STUART
State FL
Zip Code 34994-3503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588187819 Balanced Dental Clinic/Center 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 2017-07-18

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City STUART
Zip Code 34994

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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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