DR. JAMES FRED JACKSON (NPI# 1891848529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891848529 |
Entity Type | Individual |
Full Name | DR. JAMES FRED JACKSON |
Credential | DDS |
Practice Address |
1193 Pineview Dr Morgantown WV 26505-2700 |
Practice Telephone | 3045991602 |
Practice Fax Number | 3042256604 |
Mailing Telephone | 3045991602 |
Mailing Fax Number | 3042256604 |
Enumeration Date | 2007-01-18 |
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 |
2581 | WV | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
1275682403 | James Paul Jackson | Optometrist | 1845 Main Ave, Durango, CO 81301-5035 | 2007-01-09 |
Street Address |
1193 PINEVIEW DR |
City | MORGANTOWN |
State | WV |
Zip Code | 26505-2700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295387157 | Joseph Scott Finelli | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-0481 | 2019-07-11 |
1154555209 | Donald Erwyn Smith | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2009-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
Find all providers in zip 26505 |
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 |
---|---|---|---|---|
1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
1467800417 | Cheat Lake Family Dentistry | Dentist | 230 Lakewood Ctr, Morgantown, WV 26508-4457 | 2016-06-01 |
1639502354 | Amanda Sue Knestrick | Dentist | 27 Clear Spring Dr, Morgantown, WV 26508-3202 | 2013-08-16 |
1154766582 | Donald Sauter | Dentist | West Virginia University School of Dentistry, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9495 | 2013-04-29 |
1215224738 | Gabriel Martin Holley | Dentist | 998 Ashton Pl, Morgantown, WV 26508-6874 | 2011-07-05 |
1356503049 | Joseph Greg Wrobleski | Dentist | 1302 4 H Camp Rd, Morgantown, WV 26508-2455 | 2008-06-25 |
1932366473 | Rudainah Aloufan | Dentist | 1335 Stewartstown Rd Apt L1, Morgantown, WV 26505-2972 | 2008-05-21 |
1750555033 | Burt & Jackson Dmd Pllc Bluegrass Oral Health Center of Morgantown | Dentist | 304 West Ohio St., Morgantown, KY 42261 | 2008-04-17 |
1013193598 | Ralph M Shahan | Dentist | 196 Donna Ave, Morgantown, WV 26505-2884 | 2008-01-15 |
1528250198 | Carly Lynn Lemley | Dentist | 6260 Mid Atlantic Rd, Morgantown, WV 26508-4293 | 2007-08-16 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26505 |
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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.