DR. RICHARD EDWIN JACKSON (NPI# 1801810163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801810163 |
| Entity Type | Individual |
| Full Name | DR. RICHARD EDWIN JACKSON |
| Credential | DMD |
| Practice Address |
109 Timbermill Dr Lexington SC 29073-7138 |
| Practice Telephone | 8039572297 |
| Practice Fax Number | 8039574178 |
| Mailing Telephone | 8039572297 |
| Mailing Fax Number | 8039574178 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2037 | SC | 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 |
| 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 |
| 1629046339 | Richard K Jackson | Dentist | 1975 Sansburys Way Ste 112, West Palm Beach, FL 33411-1928 | 2006-03-09 |
| Street Address |
109 TIMBERMILL DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29073-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589367 | Gentle Dentistry of Lexington, LLC | Dentist | 109 Timbermill Dr, Lexington, SC 29073-7138 | 2018-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| 1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
| 1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
| 1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
| 1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
| 1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
| 1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
| Find all providers in zip 29073 | ||||
| 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 |
|---|---|---|---|---|
| 1619518057 | Rachel Katherine Huffman | Dentist | 208 E Lowry Ln, Lexington, KY 40503-2615 | 2019-10-07 |
| 1922652767 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 16, Lexington, MA 02420-4440 | 2019-07-30 |
| 1265092860 | Laura Kathryn Frye | Dentist | 1 Weaver Dr Ste 1, Lexington, NC 27292-4774 | 2019-06-17 |
| 1275193732 | Turner Jo'steven O'brian | Dentist | 750 Shaker Dr Apt 526, Lexington, KY 40504-3750 | 2019-06-17 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1225530660 | Tates Creek Dental, Psc | Dentist | 4071 Tates Creek Centre Dr Ste 210, Lexington, KY 40517-3094 | 2018-03-01 |
| 1285155606 | Stephen Tyler Graul | Dentist | 431 Redding Rd # 110, Lexington, KY 40517-2534 | 2017-07-06 |
| 1316475304 | Al-harith M Shalash | Dentist | 2358 Nicholasville Rd Ste 156, Lexington, KY 40503-3041 | 2017-06-02 |
| 1932633005 | Adkins Family Dentistry Wellington | Dentist | 444 Lewis Hargett Cir, Suite 260, Lexington, KY 40503-3689 | 2017-04-17 |
| Find all providers in LEXINGTON | ||||
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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.