DR. DANIEL JACKSON (NPI# 1124342803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124342803 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JACKSON |
| Credential | D.D.S |
| Practice Address |
821 W Pine St Poplar Bluff MO 63901-4956 |
| Practice Telephone | 5737856434 |
| Practice Fax Number | 5737856435 |
| Mailing Telephone | 5737856434 |
| Mailing Fax Number | 5737856435 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14158 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043091 | Daniel Jackson | Occupational Therapy Assistant | 2906 Weatherstone Dr, Kirksville, MO 63501-5658 | 2016-02-15 |
| 1649354200 | Daniel Dewey Jackson | Dentist | 277 5th Street, Ashland, OR 97520 | 2006-10-24 |
| 1225042609 | Daniel Wayne Jackson Jr. | Psychologist | 1500 Norwood Dr, #205, Hurst, TX 76054-3651 | 2006-07-28 |
| 1972502391 | Daniel Mark Jackson | Optometrist | 713 N 114th St, Omaha, NE 68154-1515 | 2005-07-18 |
| 1639795776 | Daniel L Jackson | Occupational Therapist | 4015 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5235 | 2020-06-24 |
| 1902369549 | Daniel Brett Jackson | Student in an Organized Health Care Education/Training Program | 3690 Grandview Parkway, Pathology Department, Birmingham, AL 35243 | 2019-04-10 |
| 1366975989 | Daniel Jackson | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210 | 2017-04-10 |
| 1689028516 | Daniel Jackson | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2016-04-18 |
| 1750773388 | Daniel Jackson | Case Manager/Care Coordinator | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2015-02-18 |
| 1477991164 | Daniel Jackson | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Acb-1st Floor, Louisville, KY 40202-1622 | 2013-06-05 |
| Street Address |
821 W PINE ST |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861646960 | Robert Rowland, Dmd, PC | Dentist | 1611a Lurlyn Dr, Poplar Bluff, MO 63901-2763 | 2008-11-17 |
| 1568623262 | Reeca Daves | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2008-06-24 |
| 1356538110 | Gary D Ormsby | Dentist | 604 Vine St, Poplar Bluff, MO 63901-5039 | 2007-09-26 |
| 1962600957 | Bobby Joe Ormsby | Dentist | 600 Vine St, Poplar Bluff, MO 63901 | 2007-07-11 |
| 1477651024 | David Eric Robertson Brown | Dentist | 603 Poplar St, Poplar Bluff, MO 63901-5723 | 2006-09-20 |
| 1588777577 | Margaret Rose Mcmillan | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-08-16 |
| 1710933353 | Randal L. Hillis | Dentist | 1600 West Harper Street, Poplar Bluff, MO 63901-4119 | 2006-05-25 |
| 1053625343 | Eduard Shvartsberg | Dentist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2010-07-29 |
| 1356579080 | Kristin Dyan Green | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2009-07-01 |
| 1972767663 | Anthony Disalvo IIi | Dentist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2008-07-11 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on DR. DANIEL 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.