DOUGLAS WAYNE JACKSON (NPI# 1245367655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245367655 |
| Entity Type | Individual |
| Full Name | DOUGLAS WAYNE JACKSON |
| Credential | DDS |
| Practice Address |
5540 S 79th E Place Tulsa OK 74145-7846 |
| Practice Telephone | 9186630284 |
| Mailing Telephone | 9186630284 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3534 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1457401762 | Douglas Jackson | Dentist | 714 E. 4th Ave, Red Springs, NC 28377 | 2007-01-11 |
| 1063432342 | Douglas R Jackson | Family Medicine | 517 W Junipero St Unit 1, 334 S Patterson Ave #120, Santa Barbara, CA 93105-4239 | 2006-07-20 |
| 1760412241 | Douglas Gilbert Jackson I | Nurse Practitioner | 14827 Foothill Rd, Santa Paula, CA 93060-9733 | 2006-07-03 |
| 1962472407 | Douglas T Jackson | Anesthesiology | 150 Bargen St, F 102, Newark, NJ 07103 | 2006-01-26 |
| 1184277857 | Douglas Jackson | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2019-07-22 |
| 1427394147 | Douglas Ray Jackson | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2012-12-27 |
| 1891071635 | Douglas Scott Jackson | Pharmacist | 116 S George St, Suite 101, York, PA 17401-1474 | 2011-10-25 |
| 1013160316 | Douglas Clarence Jackson | Specialist | 2384 Atlantic Ave, Brooklyn, NY 11233-3402 | 2008-10-30 |
| 1912076639 | Douglas L Jackson | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 | 2006-11-07 |
| Street Address |
5540 S 79TH E PLACE |
| City | TULSA |
| State | OK |
| Zip Code | 74145-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| 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 |
|---|---|---|---|---|
| 1407470743 | Tara Renae Littlefield | Dentist | 4770 S Harvard Ave, Tulsa, OK 74135-3024 | 2020-06-02 |
| 1548779135 | Dental Depot of I-44 & Harvard, Pllc | Dentist | 4770 S. Harvard Ave., Tulsa, OK 74135-3024 | 2017-09-26 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1407384639 | Scott Douglas Street | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2017-06-01 |
| 1225566821 | Linda Jeanette Loscuito | Dentist | 5540 S 79th East Pl, Tulsa, OK 74145-7846 | 2017-05-25 |
| 1720514805 | Cardelyn Dds Inc PC | Dentist | 10342 E 21st St, Tulsa, OK 74129-1606 | 2017-05-10 |
| 1104272913 | Healthy Smiles Family Dentistry Pllp | Dentist | 1326 E 43rd Ct, Ste 100, Tulsa, OK 74105-4154 | 2016-05-11 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| 1588071823 | Ryan Coursey | Dentist | 7891 E 108th St, Suite X-4, Tulsa, OK 74133-7405 | 2014-07-18 |
| Find all providers in TULSA | ||||
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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.