DR. DOLPHUS CARL JACKSON (NPI# 1467511642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467511642 |
Entity Type | Individual |
Full Name | DR. DOLPHUS CARL JACKSON |
Credential | D.D.S., P.C. |
Practice Address |
3098 Campbell Station Pkwy Spring Hill TN 37174-6270 |
Mailing Address |
3098 Campbell Station Pkwy Ste 102 Spring Hill TN 37174-6201 |
Practice Telephone | 6153028471 |
Practice Fax Number | 6153028081 |
Mailing Telephone | 6153028471 |
Mailing Fax Number | 6153028081 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2018-05-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS0000008035 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | CIGNA DMO DENTAL PLAN | 281433 | 01 |
TN | BCBS OF TENNESSEE | 4105175 | 01 |
TN | ASSURANT EMPLOYEE BNFTS | 0015802 | 01 |
TN | 3731118 | 05 | |
TN | TENNCARE SELECT | 4105175 | 01 |
TN | DORAL USA | 9176594 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1801 Church St, Nashville, TN 372032201 | 6153272494 | 6153272607 |
Street Address |
3098 CAMPBELL STATION PKWY |
City | SPRING HILL |
State | TN |
Zip Code | 37174-6270 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801866686 | Martha Ellen Shepherd | Family Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-01-25 |
1386188530 | Independent Physical Therapy | Occupational Therapist | 3098 Campbell Station Pkwy, 101, Spring Hill, TN 37174-6270 | 2016-12-07 |
1871966291 | Kelly Hinkle Taylor | Nurse Practitioner | 3098 Campbell Station Pkwy, A201, Spring Hill, TN 37174-6270 | 2015-11-06 |
1265616494 | Candice E Lewis | Registered Nurse | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2007-12-24 |
1053519678 | Sullivan Asthma and Allergy Care PC | Allergy & Immunology | 3098 Campbell Station Pkwy, Suite A202, Spring Hill, TN 37174 | 2007-07-05 |
1871614370 | Keren Marie Holmes | Family Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2007-04-02 |
1942245683 | Claude Edward Shackelford | Emergency Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-06-17 |
1356304984 | Mary R. Mcbean | Family Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275132102 | Results-ast Jv, LLC | Physical Therapist | 5073 Main Street, Suite 120, Spring Hill, TN 37174 | 2020-10-21 |
1275195356 | Nicholas Arthur Kaiser | Dentist | 1060 Crossings Circle, Spring Hill, TN 37174 | 2019-06-28 |
1104487073 | Homa Mirzai | Dentist | 4816 Main St Ste A, Spring Hill, TN 37174 | 2019-06-21 |
1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
1902385792 | Spring Hill Modern Dentistry, PC | Dentist | 4883 Main St., Spring Hill, TN 37174 | 2018-08-13 |
1427534130 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 4816 Main St, Ste A, Spring Hill, TN 37174 | 2018-07-16 |
1093202301 | Yoruba Sheree Duffie | Speech-Language Pathologist | 1001 Mccutcheon Creek Lane, Spring Hill, TN 37174 | 2018-04-23 |
1508362534 | Daily Dental Dds PC | Dentist | 2090 Wall St, Spring Hill, TN 37174 | 2018-03-30 |
1750800900 | Daily Dental Spring Hill, A Series of Daily Dental LLC | Dentist | 2090 Wall Street, Spring Hill, TN 37174 | 2017-09-19 |
1649798299 | Megan Warren | Registered Nurse | 7004 Nickalus Way, Spring Hill, TN 37174 | 2017-09-05 |
Find all providers in zip 37174 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114010907 | Michael Majid Hashemian | Dentist | 32 Seven Hills Dr., Spring Hill, FL 34609 | 2006-10-02 |
1245229251 | George Thomas Peak IIi | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2005-10-21 |
1023230539 | Kenneth Leroy Anderson IIi | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2007-05-03 |
1750487013 | Michael A. Pikos D.d.s., P.a. | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
1467835140 | Amir Victor Francis | Dentist | 1100 Poplar View Ln N Ste 1, Collierville, TN 38017-9323 | 2015-06-30 |
1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
1720472855 | Charles Baker Felts Iv | Dentist | 901 Riverfront Pkwy Ste 202, Chattanooga, TN 37402-2193 | 2015-03-26 |
1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
1780094052 | Andrew Ferraro | Dentist | 2964 Miller Place Way, Knoxville, TN 37924-1673 | 2014-05-07 |
1144649393 | Thomas Bailey | Dentist | 3000 Stansberry Ln Ste 101, Franklin, TN 37069-5125 | 2014-04-15 |
1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
Find all providers with the same taxonomy |
City | SPRING HILL |
Zip Code | 37174 |
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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.