DR. DANA C. JACKSON (NPI# 1922191915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922191915 |
| Entity Type | Individual |
| Full Name | DR. DANA C. JACKSON |
| Credential | DDS |
| Practice Address |
6710 Oxon Hill Rd Suite #350 Oxon Hill MD 20745-1121 |
| Mailing Address |
2203 Parkside Dr Mitchellville MD 20721-4228 |
| Practice Telephone | 3012483810 |
| Practice Fax Number | 3014496746 |
| Mailing Telephone | 3013902575 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9883 | MD | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DEN4466 | DC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1962701391 | Dana Lynn Jackson | Counselor | 2448 E. 81st Street, Suite 4824 / Citiplextowers, Tulsa, OK 74137-1814 | 2011-03-24 |
| 1043527310 | Dana Jackson | Speech-Language Pathologist | 219 Clarke Avenue, Staten Island, NY 10306-1115 | 2010-09-08 |
| 1174530638 | Dana Jackson | Physical Therapist | 2500 Cherry Ave Ste 203, Bremerton, WA 98310-4202 | 2006-08-01 |
| 1225053531 | Dana M Jackson | Dentist | 7101 Pines Rd, Shreveport, LA 71129-3403 | 2006-07-13 |
| 1033740188 | Dana Marie Jackson | Social Worker | 186 E 1800 N Ste 1, North Logan, UT 84341-2245 | 2020-01-28 |
| 1235692112 | Dana A Jackson | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2019-04-09 |
| 1194209809 | Dana Unique Jackson | Home Health Aide | 3896 Swenson St, Las Vegas, NV 89119-7408 | 2018-09-18 |
| 1306330840 | Dana Andrea Jackson | Nurse Practitioner | 215 S Anderson St, Tullahoma, TN 37388-3735 | 2018-06-19 |
| Street Address |
6710 OXON HILL RD SUITE #350 |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342711 | Dinisha Johnson | Social Worker | 6710 Oxon Hill Rd, Oxon Hill, MD 20745-1117 | 2019-12-01 |
| 1528626819 | Gail Renwick | Social Worker | 6710 Oxon Hill Rd, Oxon Hill, MD 20745-1117 | 2019-05-31 |
| 1104304369 | Brooke Marie Franklin | Occupational Therapy Assistant | 6710 Oxon Hill Rd, Oxon Hill, MD 20745-1117 | 2018-07-31 |
| 1912458621 | Pro Perform Spinal Health & Rehab LLC | Preferred Provider Organization | 6710 Oxon Hill Rd, Suite 400, Oxon Hill, MD 20745-1117 | 2016-10-18 |
| 1902250582 | Origins Counseling Services, LLC | Community/Behavioral Health | 6710 Oxon Hill Rd, Suite 210, Oxon Hill, MD 20745-1117 | 2016-04-20 |
| 1790176170 | Potomac View Anesthesia, LLC | Anesthesiology | 6710 Oxon Hill Rd, Suite 150, Oxon Hill, MD 20745-1117 | 2015-02-06 |
| 1568867075 | Potomac View Surgery Center, LLC | Clinic/Center | 6710 Oxon Hill Rd, Suite 150, Oxon Hill, MD 20745-1117 | 2014-10-27 |
| 1326486713 | Robert David Waters | Dentist | 6710 Oxon Hill Rd, Suite 350, Oxon Hill, MD 20745-1117 | 2013-06-07 |
| 1699937847 | Tanek L. Jenkins, Dds | Dentist | 6710 Oxon Hill Rd, Suite 170, Oxon Hill, MD 20745-1117 | 2008-06-30 |
| 1275741688 | Motshabi Mamotsumi Makhene-deloach | Dentist | 6710 Oxon Hill Rd, Suite 360, Oxon Hill, MD 20745-1121 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1841710746 | Courtnee Carroll | Technician | 5612 Dundalk Dr, Oxon Hill, MD 20745 | 2017-06-21 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| Find all providers in zip 20745 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548661614 | Ib Dental II, P.C. | Dentist | 30a Audrey Lane, Oxon Hill, MD 20745-1301 | 2014-09-09 |
| 1003909011 | The Dental Group of Fort Washington | Dentist | 6710 Oxon Hill Rd, Suite #350, Oxon Hill, MD 20745-1121 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490707 | Carl Ruderman Dds LLC | Dentist | 6309 Baltimore Ave Ste 202, Riverdale, MD 20737-1059 | 2020-02-26 |
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1245742741 | Akeso Orafacial Maxillary Surgery | Dentist | 7544 Belair Road, Nottingham, MD 21236 | 2017-10-25 |
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1356726301 | Jak LLC | Dentist | 352 Thompson Creek Mall, Stevensville, MD 21666-2500 | 2015-07-20 |
| 1457764052 | Xun Joy Chen | Dentist | 15005 Shady Grove Rd Ste 420, Rockville, MD 20850-6321 | 2014-06-11 |
| 1164848370 | Maryland Oral Surgery Associates of Frederick, LLC | Dentist | 161 Thomas Johnson Dr Ste 295, Frederick, MD 21702-4314 | 2014-03-12 |
| 1013345511 | The Oral Surgery Center At Mitchellville | Dentist | 12164 Central Ave Ste 224, Mitchellville, MD 20721-1903 | 2013-10-17 |
| 1992142806 | Nkemakonam Egolum | Dentist | 4175 N Hanson Ct Ste 200, Bowie, MD 20716 | 2013-05-31 |
| 1598011066 | Sarah Naghibi | Dentist | 14955 Shady Grove Rd Ste 350, Rockville, MD 20850-8721 | 2012-08-01 |
| Find all providers with the same taxonomy | ||||
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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.