DR. DOLPHUS CARL JACKSON


Address: 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270
Phone: 6153028471

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS0000008035 TN Dental Providers

Other Provider Identifier

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1801 Church St, Nashville, TN 372032201 6153272494 6153272607

Office Location

Street Address 3098 CAMPBELL STATION PKWY
City SPRING HILL
State TN
Zip Code 37174-6270

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City SPRING HILL
Zip Code 37174

Improve Information

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Dataset Information

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.

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