DR. SAMUEL S JACKSON III (NPI# 1851556203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851556203 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL S JACKSON III |
| Credential | D.D.S. |
| Practice Address |
296 White Bridge Pike Nashville TN 37209-3226 |
| Mailing Address |
296-whitebridge Rd Nashville TN 37209 |
| Practice Telephone | 6153529595 |
| Practice Fax Number | 6153834873 |
| Mailing Telephone | 6153529595 |
| Mailing Fax Number | 6153834873 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS7419 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511199 | Samuel Collins Jackson | Physical Therapist | 1125 Landau Ln, Mt Pleasant, SC 29466-7300 | 2020-06-03 |
| 1689105223 | Samuel Barrett Jackson | Internal Medicine | 200 Ucla Medical Plz Ste 400, Los Angeles, CA 90095-7417 | 2017-03-24 |
| 1376151266 | Samuel Eli Jackson | Behavior Technician | 1110 13th St Ste D, Columbus, GA 31901-2246 | 2020-07-16 |
| 1588204721 | Samuel Richardson Jackson | Physical Therapist | 10438 Iron Bridge Rd, Chester, VA 23831-1427 | 2020-01-15 |
| 1114480001 | Samuel W Jackson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2019-04-09 |
| 1699274993 | Samuel Robert Jackson | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-02-02 |
| 1255794160 | Samuel Jackson | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot 589, Little Rock, AR 72205-7101 | 2016-03-30 |
| Street Address |
296 WHITE BRIDGE PIKE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37209-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930194 | Results-ast Jv, LLC | Physical Therapist | 6816 Charlotte Pike, Suite 103, Nashville, TN 37209 | 2020-10-21 |
| 1215564216 | Mercedes Ann Wirdzek | Registered Nurse | Metro Nashville Public Health, 2500 Charlotte Ave, Nashville, TN 37209 | 2020-03-27 |
| 1013574284 | Bao Truc Sybo | Dentist | 4502 Charlotte Pike, Nashville, TN 37209 | 2019-05-23 |
| 1609358043 | Allison Sorrells Kerr | Music Therapist | 5303 Nevada Ave, Nashville, TN 37209 | 2018-09-01 |
| 1588158455 | Tonya Melton | Nurse Practitioner | 1028 Mountain Valley Lane, Nashville, TN 37209 | 2018-06-14 |
| 1740796515 | Jill C Collins, LLC | Behavioral Analyst | 6339 Charlotte Pike # 507, Nashville, TN 37209 | 2017-12-15 |
| 1346753837 | Action Spine & Joint, LLC. | Chiropractor | 6410 Charlotte Pike Ste 102, Nashville, TN 37209 | 2017-11-07 |
| 1366976664 | Journeypure Nashville LLC | Substance Abuse Rehabilitation Facility | 3808 Park Ave, Nashville, TN 37209 | 2017-04-13 |
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1073921656 | Malinda Davenport Crisp | Counselor | 6300 Charlotte Ave., Nashville, TN 37209 | 2014-07-28 |
| Find all providers in zip 37209 | ||||
| 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 |
|---|---|---|---|---|
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1326690850 | Smile Solutions of Nashville, Dds, P.C. | Dentist | 4928 Edmondson Pike Ste 202, Nashville, TN 37211-4791 | 2019-07-15 |
| 1396307260 | Tyler G Smith | Dentist | 104 Kenner Ave., Suite #101, Nashville, TN 37205 | 2019-07-01 |
| 1922668110 | Matthew Lott | Dentist | 8131 Sawyer Brown Rd, Nashville, TN 37221-1421 | 2019-06-19 |
| 1770041527 | Kendall Miller | Dentist | 724 William Howard Pl, Nashville, TN 37209-1777 | 2019-03-11 |
| 1629534326 | Brian R Lawson | Dentist | 600 Hill Ave Ste 1, Nashville, TN 37210-4713 | 2019-02-18 |
| 1033605597 | Spencer R Bierlein | Dentist | 2405 Crestmoor Rd, Nashville, TN 37215-2005 | 2018-07-09 |
| 1205322724 | Jefferson Orr | Dentist | 162 4th Ave N Ste 100, Nashville, TN 37219-2407 | 2018-07-09 |
| 1356836944 | Jaynee Marie Mendoza Cespedes | Dentist | 197 Thompson Ln Ste E, Nashville, TN 37211-2415 | 2018-06-26 |
| 1316434061 | East Nashville Dental Partners | Dentist | 815 Gallatin Ave, Nashville, TN 37206 | 2018-04-18 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on DR. SAMUEL S JACKSON III.
| 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.