MR. LEONARD VICTOR JACKSON JR. (NPI# 1154549715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154549715 |
| Entity Type | Individual |
| Full Name | MR. LEONARD VICTOR JACKSON JR. |
| Credential | D.D.S. |
| Practice Address |
520 North 12th Street Suite #406 Richmond VA 23298-0566 |
| Mailing Address |
520 N. 12th Street Suite #406 Richmond VA 23298-0566 |
| Practice Telephone | 8048282977 |
| Practice Fax Number | 8048283159 |
| Mailing Telephone | 8048282977 |
| Mailing Fax Number | 8048283159 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401411640 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528592292 | Leonard Jackson | Occupational Therapy Assistant | 1350 E Lookout Dr, Richardson, TX 75082-4106 | 2017-04-19 |
| 1154459527 | Leonard Jackson Jr. | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2007-02-28 |
| Street Address |
520 NORTH 12TH STREET SUITE #406 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-0566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812305 | Sarah H Glass | Dentist | 520 North 12th Street, Suite 315, Richmond, VA 23298 | 2014-05-07 |
| 1992968267 | Carlos Stringer Smith | Dentist | 520 North 12th Street, Faculty's Private Practice, Richmond, VA 23298-5064 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| 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 |
|---|---|---|---|---|
| 1528675717 | South Texas Sleep Medicine LLC | Dentist | 8710 Grand Mission Blvd Ste A, Richmond, TX 77407-5413 | 2020-09-30 |
| 1780159764 | Krysten Marie Herrero | Dentist | 1821 Mactavish Ave Apt 2319, Richmond, VA 23230-4336 | 2018-10-05 |
| 1083189179 | Saurabh Mankotia | Dentist | 5614 W Grand Pkwy S Ste 120, Richmond, TX 77406-5820 | 2018-10-04 |
| 1952887762 | Joseph Eugene Bartholomew IIi | Dentist | 521 N. 11th Street, Vcu School of Dentistry Aegd Clinic, Richmond, VA 23298 | 2018-07-15 |
| 1437635331 | Shannon Andrews Kittrell | Dentist | 8804 Patterson Ave Ste 100, Richmond, VA 23229-6361 | 2018-07-13 |
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265927065 | Hina Asghar | Dentist | 7 N 8th St Apt 1102, Richmond, VA 23219-3329 | 2018-06-25 |
| 1467946269 | Ideal Dental of Aliana Pllc | Dentist | 4818 Waterview Town Center, Suite 100, Richmond, TX 77406-1438 | 2018-06-15 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| Find all providers in RICHMOND | ||||
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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.