ANN MARIE JACKSON (NPI# 1467974253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467974253 |
| Entity Type | Individual |
| Full Name | ANN MARIE JACKSON |
| Credential | DDS |
| Practice Address |
1 Medical Center Dr Rm 1200 Morgantown WV 26506-1200 |
| Mailing Address |
971 Valley View Ave Apt 304 Morgantown WV 26505-3670 |
| Practice Telephone | 3042936109 |
| Mailing Telephone | 3046670164 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4280 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1841271459 | 05 | |
| WV | WV CHIP | 1841271459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073668810 | Ann Wilborn Jackson | Physical Therapist | 18860 Hamlin Ave, Flossmoor, IL 60422-1046 | 2007-01-24 |
| 1851464085 | Ann M. Jackson | Marriage & Family Therapist | 22205 W Ashleigh Marie Dr, Buckeye, AZ 85326-8699 | 2006-11-16 |
| 1831698570 | Ann Clara Jackson | Registered Nurse | 3080 S Stratton Dr, West Allis, WI 53219-2762 | 2018-02-08 |
| 1699176834 | Ann Lyons Jackson | Social Worker | 3170 Church Street, Slaughter, LA 70777-0000 | 2014-09-08 |
| 1992939508 | Ann C Jackson | Counselor | 333 S Central Ave, Los Angeles, CA 90013-1724 | 2009-05-11 |
| 1114101896 | Ann Patricia Jackson | Health Maintenance Organization | 200 Elkin Business Park Dr, Elkin, NC 28621-3159 | 2007-12-18 |
| Street Address |
1 MEDICAL CENTER DR RM 1200 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104731 | Asmi Shah | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Rm 1200, Morgantown, WV 26506-1200 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| 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 |
|---|---|---|---|---|
| 1366094831 | Pooja Chugh | Dentist | 409 Arabela Ct, Morgantown, WV 26508-4266 | 2019-07-15 |
| 1407418072 | Doheum Choi | Dentist | 942 Chestnut Ridge Rd Apt H, Morgantown, WV 26505-3085 | 2019-07-03 |
| 1780034413 | Ameena Syed | Dentist | 1016 Maple Dr Ste 103, Morgantown, WV 26505-2893 | 2016-06-14 |
| 1033583174 | Dhari Alenezi | Dentist | 507 Burroughs St Apt 403, Morgantown, WV 26505-3396 | 2015-11-29 |
| 1114367695 | West Virginia Universtiy Dental Corporation | Dentist | 451/453 Suncrest Town Centre Drive, Morgantown, WV 26505 | 2013-06-28 |
| 1083054647 | Fatihma Haidar | Dentist | 4302 Chestnut Hls, Morgantown, WV 26505-0801 | 2013-06-27 |
| 1235572033 | Sean Michael Horan | Dentist | 9000 Coombs Farm Rd Ste 304, Morgantown, WV 26508-1150 | 2013-04-10 |
| 1528307881 | Ayers & Lemley Dds, Pllc | Dentist | 6260 Mid Atlantic Dr, Morgantown, WV 26508-4293 | 2013-02-06 |
| 1184975252 | Shelia S Price | Dentist | 599 Medical Center Dr., Wvu School of Dentistry, Health Sciences North, Morgantown, WV 26506-9407 | 2012-09-28 |
| 1689941239 | Dr. Christopher L. Seese Pllc | Dentist | 5000 Hampton Ctr, Suite 2, Morgantown, WV 26505-1709 | 2011-11-28 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.