DR. RALPH DUDLEY JACKSON III


Address: 1400 Metro Dr, Alexandria, LA 71301-3451
Phone: 3184870075

DR. RALPH DUDLEY JACKSON III (NPI# 1104817154) 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) 1104817154
Entity Type Individual
Full Name DR. RALPH DUDLEY JACKSON III
Credential D.D.S.
Practice Address 1400 Metro Dr
Alexandria
LA 71301-3451
Mailing Address 6201 Bradford Dr
Alexandria
LA 71303-2382
Practice Telephone 3184870075
Practice Fax Number 3184870958
Mailing Telephone 3184498621
Enumeration Date 2005-10-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
5337 LA Dental Providers

Other Providers RALPH JACKSON

NPI Name Taxonomy Address Enumeration
1073763793 Ralph T Jackson Jr. Hearing Instrument Specialist 2015 Palmyra Rd, Albany, GA 31701-1576 2008-09-30
1558467043 Ralph A Jackson Internal Medicine 4390 Pleasant Hill Rd Ste D, Duluth, GA 30096-8054 2006-09-15
1558312637 Ralph K. Jackson Ophthalmology 1727 Amsterdam Ave, 3rd Floor, New York, NY 10031-4611 2006-05-13
1750377271 Ralph H Jackson Optometrist 105 Dawson St, Edinburg, TX 78539-6401 2005-09-20
1508869231 Ralph L Jackson Dentist 105 Highland Ave, Cornelia, GA 30531-4366 2005-05-26
1669950614 Ralph Norman Jackson Jr. Social Worker 1601 Sw Archer Rd, Gainesville, FL 32608-1135 2018-08-01
1720107675 Ralph Jackson Licensed Practical Nurse 813 Fay Rd, Syracuse, NY 13219-3009 2007-03-29
1033131446 Ralph Jackson Emergency Medicine 2701 W 68th St, Chicago, IL 60629-1813 2006-07-24
1609867522 Ralph Dudley Jackson Jr. Dentist 1400 Metro Dr, Suite B, Alexandria, LA 71301-3451 2005-10-31

Office Location

Street Address 1400 METRO DR
City ALEXANDRIA
State LA
Zip Code 71301-3451

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407098619 Alexandria Pediatric Dentistry - A Partnership Dentist 1400 Metro Dr, Ste A, Alexandria, LA 71301-3451 2009-04-02
1275546301 Anna Brasher Moreau Dentist 1400 Metro Dr, Alexandria, LA 71301-3451 2006-08-13
1083676415 Richard R Brasher Jr. Dentist 1400 Metro Dr, Alexandria, LA 71301-3451 2006-04-03
1609867522 Ralph Dudley Jackson Jr. Dentist 1400 Metro Dr, Suite B, Alexandria, LA 71301-3451 2005-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689217457 Geaux Trans Transportation Non-emergency Medical Transport (VAN) 3101 Quail Court Apt A, Alexanadria, LA 71301 2019-10-23
1679115497 Emily Belgard Case Manager/Care Coordinator 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 2019-10-14
1316591878 Leronisha Murphey Technician 1300 Jackson Street, Alexandria, LA 71301 2019-08-01
1144782996 Ashley Billings Student in an Organized Health Care Education/Training Program 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 2019-04-02
1740753110 Maranda Trotti Voorhies Nurse Practitioner 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 2019-01-08
1326565359 Sheryl Ann Truman Registered Nurse 3224 Madonna Drive, Alexandria, LA 71301 2017-08-30
1770001620 Casey Holts Counselor 5760 Goodland Trace, Alexandria, LA 71301 2017-08-30
1942735956 Transforming Lives, Inc. Community/Behavioral Health 1428 Peterman Dr Ste A, Alexandria, LA 71301 2017-04-27
1790216703 Johnnetta Rutledge Counselor 39 Kent Ave, Alexandria, LA 71301 2017-03-22
1104367788 Clarissa Dione Pugh Counselor 23 Tennessee Ave, Alexandria, LA 71301 2017-03-15
Find all providers in zip 71301

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356819981 Novicare Orthodontics Pllc Dentist 717 Pendleton St, Alexandria, VA 22314-1820 2018-11-13
1871907741 William S. Lee, Dds, P.C. Dentist 6400 Beulah St, Suite #103, Alexandria, VA 22310-2628 2014-06-18
1588006118 Katie Evans Moffit Dentist 1460 Peterman Dr, Alexandria, LA 71301 2013-07-24
1720392871 Hung Quoc Chau Lu Dentist 6479 Old Beulah St, Alexandria, VA 22315 2010-07-31
1245447150 Mary Ann Karau Dentist 1213 Belle Haven Rd, Alexandria, VA 22307-1218 2007-05-17
1912021346 William Jude Sansing Dentist 1431 Peterman Dr, Alexandria, LA 71301-3433 2007-03-19
1396874699 Vernon Traxler Dentist 2229 Worley Dr, Alexandria, LA 71301-3631 2007-03-04
1417025255 William Sungki Lee Dentist 6400 Beulah St Ste 103, Alexandria, VA 22310-2628 2006-12-01
1699848077 Ronald Steve Gasper Dentist 1755 Duke St # B, Alexandria, VA 22314-3401 2006-11-15
1912017484 Frances Hamman Dentist 7574 Telegraph Road, Alexandria, VA 22315 2006-08-30
Find all providers in ALEXANDRIA

Competitor

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City ALEXANDRIA
Zip Code 71301

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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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