DR. JO ANNE JACKSON (NPI# 1487724589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487724589 |
Entity Type | Individual |
Full Name | DR. JO ANNE JACKSON |
Credential | DMD |
Practice Address |
3918 Montclair Rd Suite 206 Birmingham AL 35213-2418 |
Practice Telephone | 2058796150 |
Practice Fax Number | 2058796150 |
Mailing Telephone | 2058796150 |
Mailing Fax Number | 2058796150 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2563 | AL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
1285750190 | Jo A Jackson | Family Medicine | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2007-03-22 |
Street Address |
3918 MONTCLAIR RD SUITE 206 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35213-2418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750386827 | Burson T Williams IIi | Pathology | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 | 2005-06-16 |
1831272855 | John Roger Smith | Dentist | 3918 Montclair Rd, Suite 91w, Birmingham, AL 35213-2425 | 2006-10-23 |
1104898873 | Dermatopathology Services Inc | Clinical Medical Laboratory | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2417 | 2006-02-06 |
1215916978 | Deborah Sanders | Pathology | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 | 2006-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
Find all providers in zip 35213 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134336480 | Sory Shannon | Dentist | 5113 Cyrus Cir, Birmingham, AL 35242-4631 | 2007-05-17 |
1225150782 | Joby Lee Hurst | Dentist | 2894 Acton Rd, Birmingham, AL 35243-2502 | 2007-04-04 |
1811059124 | John Bernard Thornton | Dentist | Uab School of Dentistry, 1919 7th Ave. So., Birmingham, AL 35294-0001 | 2006-12-14 |
1639251713 | Michael King Vann II | Dentist | 1808 Gadsden Hwy Ste 134, Birmingham, AL 35235-3140 | 2006-10-19 |
1932299013 | Stephanie H Steinmetz | Dentist | 521 Montgomery Hwy Ste 125, Birmingham, AL 35216-1877 | 2006-10-13 |
1295835338 | Frederick B Smith | Dentist | 1613 11th Ave S, Birmingham, AL 35205-4703 | 2006-09-25 |
1730297276 | Kimberly Rosser Carr | Dentist | 1801 14th Ave S, Birmingham, AL 35205-4931 | 2006-08-25 |
1578678645 | Donald William Englebert | Dentist | 2114 10th Ave S, Birmingham, AL 35205-2712 | 2006-08-20 |
1336157759 | Jerry Lee Parker | Dentist | 1263 Center Point Pkwy, Suite A, Birmingham, AL 35215-6347 | 2006-08-03 |
1477572741 | Michael Aaron Keller | Dentist | 2045 Brookwood Medical Ctr Dr, Suite 5-7, Birmingham, AL 35209-6874 | 2006-07-18 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35213 |
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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.