DR. MELISSA JACKSON (NPI# 1881086577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881086577 |
| Entity Type | Individual |
| Full Name | DR. MELISSA JACKSON |
| Credential | DDS |
| Practice Address |
2539 S Columbia Pl Tulsa OK 74114-3232 |
| Practice Telephone | 5046386479 |
| Mailing Telephone | 5046386479 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6850 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA DENTAL BOARD | 6850 | 01 |
| DEA | FJ6185905 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298655 | Melissa Marie Jackson | Registered Nurse | 456 W 68th St, Kansas City, MO 64113-1919 | 2018-09-10 |
| 1891235933 | Melissa Jackson | Marriage & Family Therapist | 202 W Manchester Ave, Playa Del Rey, CA 90293-7710 | 2017-03-07 |
| 1346645231 | Melissa Rene Jackson | Advanced Practice Midwife | 2744 Ewing Ave S, Minneapolis, MN 55416-4213 | 2014-11-04 |
| 1992048482 | Melissa Michelle Jackson | Speech-Language Pathologist | 707 Marie Ave, Ruston, LA 71270-2715 | 2013-04-03 |
| 1033471065 | Melissa Anne Jackson | Specialist | 3133 Broadway Apt 1, New York, NY 10027-4617 | 2012-06-14 |
| 1538439112 | Melissa Jackson | Spec/Tech, Pathology | 1820 California St Nw, 41, Washington, DC 20009-1824 | 2012-01-12 |
| 1609145184 | Melissa Rena Jackson | Counselor | 11541 Village Ave, Midwest City, OK 73130-8207 | 2011-12-29 |
| 1497064695 | Melissa Lousie Jackson | Neuromusculoskeletal Medicine, Sports Medicine | 4 Victory Ln, Scarborough, ME 04074-8486 | 2010-10-05 |
| 1528224219 | Melissa Jackson | Psychiatry & Neurology | 3250 Ne 1st Ave, Suite 317, Miami, FL 33137-4191 | 2008-08-01 |
| 1063681526 | Melissa Odette Vega Jackson | Occupational Therapist | 3773 Seven Seas Ave, Land O Lakes, FL 34638-2905 | 2008-02-28 |
| Street Address |
2539 S COLUMBIA PL |
| City | TULSA |
| State | OK |
| Zip Code | 74114-3232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| 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 |
|---|---|---|---|---|
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1346801198 | Progressive Dental Care of Tulsa, Pllc | Dentist | 7614 E 91st St Ste 120, Tulsa, OK 74133-6047 | 2019-06-24 |
| 1295394211 | Hope Restorative and Cosmetic Dentistry | Dentist | 9445 S Mingo Rd Ste 120, Tulsa, OK 74133-5827 | 2019-06-12 |
| 1154988277 | Jeremy Ryan Archer | Dentist | 4606 E 67th St Ste 312, Tulsa, OK 74136-4950 | 2019-05-23 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1558852459 | Kyle Sikes | Dentist | 6565 S Yale Ave Ste 1104, Tulsa, OK 74136-8380 | 2018-05-25 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1114445285 | T-town Smiles, PC | Dentist | 6565 S Yale Ave # 1107, Tulsa, OK 74136-8327 | 2017-09-08 |
| 1235679440 | Tulsa Premier Dentistry, Pllc | Dentist | 7891 E 108th St Ste X4, Tulsa, OK 74133-7406 | 2017-03-07 |
| 1033571104 | Alexander D. Williams, D.d.s., P.C. | Dentist | 5510 E 41st St, Suite C, Tulsa, OK 74135-6009 | 2016-03-28 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on DR. MELISSA JACKSON.
| 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.