JEFFREY JACKSON (NPI# 1871951269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871951269 |
| Entity Type | Individual |
| Full Name | JEFFREY JACKSON |
| Credential | D.D.S |
| Practice Address |
1395 Center Dr Gainesville FL 32610-3006 |
| Practice Telephone | 3522737643 |
| Mailing Telephone | 3522737643 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8666 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193181 | Jeffrey Jackson | Student in an Organized Health Care Education/Training Program | 1055 W Longfellow Dr, Manteno, IL 60950-9472 | 2020-01-22 |
| 1881259570 | Jeffrey Lamar Jackson II | Chiropractor | 13865 S Dixie Hwy # 307, Miami, FL 33176-7221 | 2019-05-08 |
| 1548753965 | Jeffrey Jackson | Social Worker | 2024 Corporate Centre Dr Ste 103, Myrtle Beach, SC 29577-7410 | 2018-06-11 |
| 1154792422 | Jeffrey Scott Jackson | Occupational Therapy Assistant | 3209 Bristol Hwy., Nhc Healthcare, Johnson City, TN 37601 | 2015-10-13 |
| 1447481205 | Jeffrey Brown Jackson | Marriage & Family Therapist | 450 N University Ave, Suite 204, Provo, UT 84601-2860 | 2009-07-28 |
| 1952421927 | Jeffrey W Jackson | Pharmacist | 5510 Lafayette Rd Ste 260, Indianapolis, IN 46254-1691 | 2007-03-30 |
| 1659432607 | Jeffrey L Jackson | Internal Medicine | 500o W National Ave, Milwaukee, WI 53295-0001 | 2006-12-13 |
| 1760589477 | Jeffrey Scott Jackson | Pharmacist | 16821 Rosman Hwy, Lake Toxaway, NC 28747-9593 | 2006-09-17 |
| 1194764860 | Jeffrey Kline Jackson | Family Medicine | 2200 W Touhy Ave, Chicago, IL 60645-3412 | 2006-06-06 |
| 1972563443 | Jeffrey A Jackson | Internal Medicine | 720 Eskenzi Ave., Indianapolis, IN 46202-5166 | 2006-03-27 |
| Street Address |
1395 CENTER DR |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942387535 | Richard E Donatelli | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2006-11-01 |
| 1629682430 | Kyulim Lee | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-08-31 |
| 1720696891 | Raghd Abdulrahman Alansari | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-07-15 |
| 1316555477 | Michelle Briner Garrido | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-07-15 |
| 1164049458 | Divakar Sheshagirirao Karanth Huttinagadde | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-07-02 |
| 1801413364 | Carlos Andres De Bruzos | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-07-01 |
| 1487271888 | Shawki Abed | Dentist | 1395 Center Dr, Gainesville, FL 32611-2025 | 2020-07-01 |
| 1912524570 | Alexandra Alicia Davila | Student in an Organized Health Care Education/Training Program | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-06-30 |
| 1356968119 | Allen Lee Khai | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-06-28 |
| 1952925166 | Hayden Bell | Dentist | 1395 Center Dr, Gainesville, FL 32610-3006 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| 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 |
|---|---|---|---|---|
| 1437761871 | Amanda Ghaffari | Dentist | 8992 Sw 67th Pl, Gainesville, FL 32608-9222 | 2020-08-18 |
| 1326665878 | Ryan Richard Clance | Dentist | 1395 Center Dr # D1-40, Gainesville, FL 32610-3006 | 2020-07-01 |
| 1033735386 | Adam Hadsell | Dentist | 1395 Center Dr # D-17, Gainesville, FL 32610-3006 | 2020-06-23 |
| 1174147292 | Carol Gilbert-orrego | Dentist | 1844 Nw 42nd Ave, Gainesville, FL 32605-1935 | 2020-06-04 |
| 1881227379 | Roaa Sabri Alshafei | Dentist | 1395 Center Dr Ste D2-27, Gainesville, FL 32610-3006 | 2020-02-13 |
| 1679106116 | Yasser Merdad | Dentist | 425 W University Ave Apt 4412, Gainesville, FL 32601-5207 | 2020-02-12 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104385541 | Andreina Dulanto | Dentist | 1395 Center Dr Rm D10-33, Gainesville, FL 32610-3006 | 2019-03-15 |
| 1578027314 | Stephen H Schwartz | Dentist | 4305 Granison Chase, Gainesville, GA 30504-9286 | 2019-01-25 |
| 1366916744 | Pbt Dental LLC | Dentist | 590 S Enota Dr Ne Ste 2, Gainesville, GA 30501-2433 | 2019-01-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.