DR. ERNEST W JACKSON (NPI# 1124113246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124113246 |
| Entity Type | Individual |
| Full Name | DR. ERNEST W JACKSON |
| Credential | DDS |
| Practice Address |
111 S Meramec Ave Clayton MO 63105-1711 |
| Mailing Address |
3702 W Truman Blvd Ste 100 Jefferson City MO 65109-4970 |
| Practice Telephone | 3146158153 |
| Practice Fax Number | 3146158303 |
| Mailing Telephone | 5736355315 |
| Mailing Fax Number | 5736355512 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
014969 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 406024208 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336306588 | Ernest Francis Jackson | Social Worker | 9729 64th Rd, Rego Park, NY 11374-2240 | 2008-05-16 |
| 1801060231 | Ernest Jackson Jr. | Counselor | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2008-04-16 |
| Street Address |
111 S MERAMEC AVE |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083864797 | Margaret Robin Hinshaw | Social Worker | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2008-09-30 |
| 1366692063 | Doris Elaine King | Social Worker | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2008-09-30 |
| 1124164785 | Robert Marion Jarrett | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2007-01-30 |
| 1952496036 | Robert H Conner | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-10-04 |
| 1932215159 | Benjamin F Davis | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1184739609 | Bertha Y Carter-simmons | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1528173051 | Lee E Doss | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1972619401 | Jane A Fischer-messmer | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-21 |
| 1629182043 | Brenda Lee Walker | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-19 |
| 1114031531 | Susan Burke Bishop | Nurse Practitioner | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435117 | Richard Lee Weber Jr. | Dentist | 19 Jo Dotson Cir, Clayton, GA 30525-5007 | 2005-08-26 |
| 1124164785 | Robert Marion Jarrett | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2007-01-30 |
| 1952496036 | Robert H Conner | Dentist | 111 S Meramec Ave, Clayton, MO 63105-1711 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1790164762 | Ozark Tri-county Health Care Consortium | Dentist | 3201 S Arrowhead Dr, Independence, MO 64057-1196 | 2015-05-23 |
| 1255626826 | Heartland Outreach Providers, Inc. | Dentist | 18921 E Valley View Pkwy Ste G, Suite 215, Independence, MO 64055-7024 | 2011-06-12 |
| 1487829644 | Phelps County Regional Medical Center | Dentist | 1202 Homelife Drive, Rolla, MO 65401 | 2008-04-28 |
| 1104010255 | Michael Bruce Hogan | Dentist | 108 Cecil St Ste G, Camdenton, MO 65020-7066 | 2007-08-31 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1083836381 | The Tooth Truck Inc. Dba Ronald Mcdonald Care Mobile of The Ozarks | Dentist | 949 E. Primrose, Springfield, MO 65807 | 2007-05-03 |
| 1447384417 | Chyrelle Louann Blount | Dentist | 15479 Us Highway 160, Forsyth, MO 65653 | 2007-03-14 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ERNEST W JACKSON.
| 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.