DR. RICHARD M JACKSON JR. (NPI# 1801123633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801123633 |
| Entity Type | Individual |
| Full Name | DR. RICHARD M JACKSON JR. |
| Credential | DDS |
| Practice Address |
505 S Main Porter OK 74454 |
| Mailing Address |
Po Box 334 Porter OK 74454-0334 |
| Practice Telephone | 9184830012 |
| Practice Fax Number | 9184834174 |
| Mailing Telephone | 9184830213 |
| Mailing Fax Number | 9184834174 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5920 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520770 | Richard Allen Jackson | Social Worker | 201 W Laurel St, Brainerd, MN 56401-3902 | 2016-10-25 |
| 1386924363 | Richard Ray Jackson | Social Worker | 104 S Ridge Ave, Troy, OH 45373-2704 | 2011-08-23 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1508081993 | Richard Jackson | Psychiatry & Neurology | E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302 | 2007-04-13 |
| 1851478101 | Richard Jackson | Pharmacist | 420 Delaware St Se # Mmc812, Minneapolis, MN 55455-0341 | 2006-11-01 |
| 1972616134 | Richard Pharus Jackson | Optometrist | 216 W Washington St, Anthony, TX 79821-9304 | 2006-08-15 |
| 1801810163 | Richard Edwin Jackson | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2006-07-27 |
| 1366483406 | Richard D Jackson | Family Medicine | 29 Eastbrook Rd, Ronks, PA 17572-9769 | 2006-06-09 |
| 1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
| 1174587505 | Richard E Jackson | Physician Assistant | 21260 Olean Blvd Ste 200, Port Charlotte, FL 33952-6742 | 2006-04-13 |
| Street Address |
505 S MAIN |
| City | PORTER |
| State | OK |
| Zip Code | 74454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083740047 | Arkansas Verdigris Valley Health Centers, Inc. | Dentist | 505 S Main, Porter, OK 74454 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609061423 | Porter Consolidated Schools | Local Education Agency (LEA) | Main St. Hwy 51-b, Porter, OK 74454-0120 | 2007-09-14 |
| 1548730559 | Jennifer Lyn Stickelmeyer | Nurse Practitioner | 505 S Main St, Porter, OK 74454-1015 | 2018-12-03 |
| 1821482811 | Stephanie Jane Garrett | Physician Assistant | 505 S Main St, Porter, OK 74454-1015 | 2015-03-27 |
| 1881086551 | Caitlin Ashley | Physician Assistant | 505 S Main St, Porter, OK 74454-1015 | 2015-03-04 |
| 1003850132 | Ashley Noel Aldrich | Family Medicine | 505 S Main St, Porter, OK 74454-1015 | 2006-06-16 |
| 1972067445 | Brandon Udell Bethel | Counselor | 222 N 6th St, Porter, OK 74454-1090 | 2019-01-29 |
| 1518247519 | Marjorie Williams Ray | Counselor | 604 W Finale, Porter, OK 74454-1142 | 2011-08-22 |
| 1003010869 | Julie R Mcintosh | Family Medicine | 9429 N 50th St W, Porter, OK 74454-2749 | 2007-06-13 |
| 1154657161 | Sadena Renee Chrisman | Speech-Language Pathologist | 40481 E 231st St S, Porter, OK 74454-3021 | 2009-10-26 |
| 1891781845 | Nathan T. Wood | Family Medicine | 6576 N 30th St W, Porter, OK 74454-3028 | 2005-09-26 |
| Find all providers in zip 74454 | ||||
| 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 |
|---|---|---|---|---|
| 1801378849 | Northeast Houston Dental Specialists Pllc | Dentist | 23762 Us 59, Porter, TX 77365 | 2018-09-06 |
| 1629114046 | Alan Iglesias | Dentist | 23896 Loop 494, Porter, TX 77365-4924 | 2007-01-30 |
| 1265595961 | Mustafa Qamaruddin Yamani | Dentist | 23607 Kelly Joe Smith Road, Suite D, Porter, TX 77365-8405 | 2006-12-18 |
| 1154409134 | Robert Stroumpos | Dentist | 23741 Hwy 59, Suite 1, Porter, TX 77365 | 2006-11-01 |
| 1215594387 | Christopher David Parent | Dentist | 70 Main St, Porter, ME 04068-3527 | 2019-05-23 |
| 1447430319 | Hedieh Pournik Dds Pa | Dentist | 23741 Hwy 59, Ste #1, Porter, TX 77365 | 2007-11-08 |
| 1679606255 | Jonathan C. Cons | Dentist | 38 Main St, Porter, ME 04068-3527 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| 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.