DANA MARIE JACKSON (NPI# 1114328366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114328366 |
| Entity Type | Individual |
| Full Name | DANA MARIE JACKSON |
| Credential | DMD |
| Practice Address |
3866 S 74th St Suite 200 Tacoma WA 98409-1045 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 6185608849 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2016-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DE60494660 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60494660 | WA | 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 |
| 1922191915 | Dana C. Jackson | Dentist | 6710 Oxon Hill Rd, Suite #350, Oxon Hill, MD 20745-1121 | 2006-10-02 |
| 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 |
| Street Address |
3866 S 74TH ST SUITE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255496972 | Ronald Allen Sabins | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2006-12-22 |
| 1326464215 | Larry Kuxhausen | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2014-03-15 |
| 1316066103 | Jean J Xu | Dentist | 3866 S 74th St, Tacoma, WA 98409-1045 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| 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 |
|---|---|---|---|---|
| 1528672078 | Christopher Hieu-thanh Nguyen | Dentist | Madigan Annex Second Floor Building 9900, Tacoma, WA 98431-0001 | 2020-09-02 |
| 1699308619 | Gaurav Dudeja Pllc | Dentist | 5038 Tacoma Mall Blvd Ste A, Tacoma, WA 98409-7103 | 2020-02-18 |
| 1477032035 | Sampada Jayant Deshpande | Dentist | 4811 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1799 | 2018-08-14 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1720598949 | Alyssa Christine Meister Burns | Dentist | 9900 Lincoln Street (2nd Floor), Tacoma, WA 98431-0001 | 2017-10-02 |
| 1528503141 | Ajaipal Singh Sekhon, Dds, Pllc | Dentist | 2716 N 31st St, Tacoma, WA 98407-6405 | 2017-01-05 |
| 1730543240 | Dale L. Vanderschelden, Dds Chartered | Dentist | 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409-7120 | 2016-04-11 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1639599566 | Adam Yang Dds Ps | Dentist | 15 Oregon Ave Ste 106, Tacoma, WA 98409-7462 | 2014-04-17 |
| 1265778484 | Richard Guzha Dds LLC | Dentist | 2617 6th Ave, Tacoma, WA 98406-7204 | 2012-12-15 |
| Find all providers in TACOMA | ||||
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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.