DR. CHARLES JACKSON


Address: 3540 82nd St, Jackson Heights, NY 11372-5159
Phone: 7184467100

DR. CHARLES JACKSON (NPI# 1982769840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982769840
Entity Type Individual
Full Name DR. CHARLES JACKSON
Credential DMD
Practice Address 3540 82nd St
Jackson Heights
NY 11372-5159
Practice Telephone 7184467100
Practice Fax Number 7184468900
Mailing Telephone 7184467100
Mailing Fax Number 7184468900
Enumeration Date 2006-12-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
35470 NY Dental Providers

Other Providers CHARLES JACKSON

NPI Name Taxonomy Address Enumeration
1457896839 Charles Jackson Counselor 2911 Penick St, Shreveport, LA 71109-4337 2016-12-21
1043655681 Charles D Jackson Driver 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 2013-05-09
1437594553 Charles Jackson Social Worker 18712 Quarry St, Riverview, MI 48193-4527 2013-05-02
1508154105 Charles Gilbert Jackson Jr. Psychiatry & Neurology 88 Crescent St, Northampton, MA 01060-2115 2011-07-16
1457669848 Charles Edward Jackson Jr. Psychologist 1407 Healing Water Lane, N.las Vegas, NV 89031 2010-09-20
1588994081 Charles Dustin Jackson Counselor 5004 Nw 26th St, Oklahoma City, OK 73127-1722 2010-01-05
1508985250 Charles Arthur Jackson Jr. Chiropractor 2455 E Hill Rd, Grand Blanc, MI 48439 2007-03-27
1760535926 Charles Jackson Podiatrist 820 N Dalmont St, Hobbs, NM 88240-5214 2007-01-19
1437224813 Charles Wesley Jackson Jr. Psychologist 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 2006-11-21
1306929856 Charles Russell Jackson Dentist 1 Med Center Dirve, Morgantown, WV 26506 2006-10-20

Office Location

Street Address 3540 82ND ST
City JACKSON HEIGHTS
State NY
Zip Code 11372-5159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043685787 Triboro Pediatrics PC Pediatrics 3540 82nd St, Suite D, Jackson Heights, NY 11372-5105 2015-12-07
1295968816 Kiren Gehani Dentist 3540 82nd St, 1f, Jackson Heights, NY 11372-5159 2009-08-30
1871770495 Rekha Chandurpal Gehani Dentist P.C. Dentist 3540 82nd St, Jackson Heights, NY 11372-5159 2008-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028967 Adults Medical Care, P.C. Internal Medicine 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 2020-09-17
1568077014 Toshihide Kuroe Student in an Organized Health Care Education/Training Program 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 2020-09-11
1134732142 Wendell Jamias Abad Physical Therapy Assistant 90-33 Elmhurst Ave., Jackson Heights, NY 11372 2020-08-28
1508489022 Shereda Lawrence Nurse Practitioner 86-10 Roosevelt Ave, Jackson Heights, NY 11372 2020-05-19
1710513395 Golden Age Home Care, Inc Home Health 71-16 35th Street, Jackson Heights, NY 11372 2020-03-16
1497210611 Andree Michel Decastro Counselor 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 2019-02-01
1598234031 Bithi Roy Social Worker 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 2018-11-14
1225506496 Michael Anavian Counselor 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 2018-11-06
1982189171 Jackson Pharmacy Inc. Pharmacy 7102, 37th Avenue, Jackson Heights, NY 11372 2018-10-03
1689155814 Sostenes Batista Lima Counselor 35-25 86th St Apt 1f, Jackson Heights, NY 11372 2018-08-26
Find all providers in zip 11372

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265972616 Haeyoon Yang Dentist 8618 37th Ave, Jackson Heights, NY 11372-7533 2017-03-05
1093161747 Sulochana Gurung Dentist 8710 Northern Blvd Ste 204, Jackson Heights, NY 11372-1642 2016-05-12
1033460753 Mn Denatlcare LLC Dentist 3723 78th St, Jackson Heights, NY 11372-6631 2012-09-20
1841563012 Mary Frances Ditolla Dentist 34-41 85th Street, Apt. 1-a, Jackson Heights, NY 11372 2012-02-17
1598053373 D&s Dental PC Dentist 3717 90th St Ste 1, Jackson Heights, NY 11372-7875 2011-07-14
1215238183 Bestcare Family Dental Dentist 8809 Northern Blvd, Jackson Heights, NY 11372-1626 2010-11-09
1205086147 82nd Dental Pllc Dentist 8201 Roosevelt Ave, 2nd Floor, Jackson Heights, NY 11372-7034 2008-09-29
1417116013 Jeffrey D Haimson Dmd Pllc Dentist 8306 Northern Blvd, Jackson Heights, NY 11372-1460 2008-06-09
1992964761 Yolanda Cecilia Arteaga Dentist 34-28 86th Street, Jackson Heights, NY 11372 2008-06-05
1144495607 Georgina Lopez Dentist 3757 92nd St, Jackson Heights, NY 11372-7947 2008-04-25
Find all providers in JACKSON HEIGHTS

Competitor

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City JACKSON HEIGHTS
Zip Code 11372

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Dataset Information

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.

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