DR. CARL DENNIS JACKSON (NPI# 1285848309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285848309 |
| Entity Type | Individual |
| Full Name | DR. CARL DENNIS JACKSON |
| Credential | D.M.D. |
| Practice Address |
3200 Concord Rd Suite 200 Aston PA 19014-1931 |
| Mailing Address |
188 Woodlark Ln Glen Riddle PA 19063-5706 |
| Practice Telephone | 6108727461 |
| Practice Fax Number | 6104947559 |
| Mailing Telephone | 6103580369 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS018783L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831208768 | Carl E. Jackson | Surgery | 386 Medway Rd, Highland Heights, OH 44143-3734 | 2006-08-30 |
| 1902263270 | Carl Jackson | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2016-01-18 |
| 1891078671 | Carl Edward Jackson | Counselor | 120 W Broadway St, Altus, OK 73521-3802 | 2011-09-28 |
| 1265510457 | Carl Jackson Jr. | Dentist | 145 Pelham Dr, Columbia, SC 29209-1321 | 2006-11-02 |
| Street Address |
3200 CONCORD RD SUITE 200 |
| City | ASTON |
| State | PA |
| Zip Code | 19014-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811235112 | Amanda Iacono Spinogatti | Speech-Language Pathologist | 3200 Concord Rd, Aston, PA 19014-1931 | 2013-01-21 |
| 1669725818 | Tamara Pruette Heacock | In Home Supportive Care | 3200 Concord Rd, Aston, PA 19014-1931 | 2012-10-24 |
| 1861777187 | Carol Ann Baron | Pharmacist | 3200 Concord Rd, Suite 101, Aston, PA 19014-1931 | 2011-10-18 |
| 1700107117 | Kimberly Cook | Speech-Language Pathologist | 3200 Concord Rd, Suite 103, Aston, PA 19014-1931 | 2010-06-20 |
| 1326361304 | Aston Family Dental Care | Clinic/Center | 3200 Concord Rd, Suite 200, Aston, PA 19014-1931 | 2010-03-05 |
| 1215118849 | Teems Inc | Home Health | 3200 Concord Rd, Aston, PA 19014-1931 | 2007-11-26 |
| 1073794848 | Maria T. Unger | Speech-Language Pathologist | 3200 Concord Rd, Suite 103, Aston, PA 19014-1931 | 2007-11-20 |
| 1093995987 | Helen Ann Thompson | Occupational Therapist | 3200 Concord Rd, Aston, PA 19014-1931 | 2007-11-07 |
| 1831379726 | Helen Vadala | Occupational Therapist | 3200 Concord Rd, Aston, PA 19014-1931 | 2007-11-07 |
| 1679789713 | Chester H Boyers Iv | Massage Therapist | 3200 Concord Rd, Suite 102, Aston, PA 19014-1931 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374135 | Lauren Walker | Physical Therapist | 482-484 Conchester Highway, Suite 7 & 8, Aston, PA 19014 | 2018-11-06 |
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1972925675 | Lylelaine Bacalla | Registered Nurse | 50 Andrews Court, Upper Chichester, PA 19014 | 2014-01-15 |
| 1598020539 | Tarlan Arshian | Dentist | 488 Conchester Hwy, Upper Chichester, PA 19014 | 2012-07-05 |
| 1104194703 | Carla Laury | Counselor | 302 Belvue Terrace, Aston, PA 19014 | 2011-12-09 |
| 1548542426 | Me Lee Ghassemi | Pharmacist | 3620 Concord Road, Walgreens Pharmacy, Aston, PA 19014 | 2011-09-15 |
| 1649504986 | Chester Pain Management | General Practice | 4610 Pennell Road, Aston, PA 19014 | 2009-09-18 |
| 1053555474 | Sleepcare Center Inc. | Specialist | 4513 Pennell Road, Aston, PA 19014 | 2009-04-29 |
| 1366619033 | Jonathan Nobuhiro Hayashi | Dentist | 2901 Dutton Mill Road, Aston, PA 19014 | 2008-05-13 |
| 1215055355 | Karen Ann Maher | Physical Therapist | 2507 Chestnut Street, Chester, PA 19014 | 2007-03-27 |
| Find all providers in zip 19014 | ||||
| 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 |
|---|---|---|---|---|
| 1265524904 | Peter Carmen Certo Jr. | Dentist | 2940 Concord Rd, Aston, PA 19014-2943 | 2006-09-29 |
| 1023042793 | H. David Waldman | Dentist | 4720 Pennell Rd, Aston, PA 19014-1864 | 2006-07-10 |
| 1528056702 | Lance Panarello | Dentist | 5000 Chichester Ave, Aston, PA 19014-2333 | 2005-10-11 |
| 1942355482 | Dental Health Center | Dentist | 4720 Pennell Rd, Aston, PA 19014-1864 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555426 | Andrew Morrison | Dentist | 1575 Highlands Dr Ste 100, Lititz, PA 17543-7507 | 2020-10-12 |
| 1497362982 | Samar Al Quraishi | Dentist | 625 E Lancaster Ave Apt C303, Wynnewood, PA 19096-2028 | 2020-09-28 |
| 1891301875 | Livewell Dentistry Pllc | Dentist | 125 Towne Centre Blvd Ste 510, Wexford, PA 15090-5619 | 2020-09-16 |
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1235743857 | Gurkirt Singh | Dentist | 833 N Bethlehem Pike, Spring House, PA 19477 | 2020-09-01 |
| 1245844927 | Puja Shah | Dentist | 602 S Bethlehem Pike Ste C2, Ambler, PA 19002-5800 | 2020-09-01 |
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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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.