DR. CHARLES JACKSON VAN METER III (NPI# 1689831125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689831125 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JACKSON VAN METER III |
| Credential | DMD, MD |
| Practice Address |
300 Maxey Dr Brandon MS 39042-2576 |
| Mailing Address |
300 Maxey Dr Brandon MS 39042 |
| Practice Telephone | 6016650411 |
| Mailing Telephone | 6016650411 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-07-18 |
| 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 |
0S466-13 | MS | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5853 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285852145 | Charles Brian Van Meter | Physical Therapist | 8990 Miramar Rd Ste 275, San Diego, CA 92126-4470 | 2007-04-23 |
| 1699963884 | Charles Boyd Van Meter Jr. | Psychiatry & Neurology | 2215 Burdett Ave, Troy, NY 12180-2466 | 2007-10-12 |
| Street Address |
300 MAXEY DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851725816 | Van Meter Oral Surgery, LLC | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| 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 |
|---|---|---|---|---|
| 1831289099 | Jack Allen Davidson Jr. | Dentist | 1165 Nikki View Dr, Brandon, FL 33511-4879 | 2006-10-16 |
| 1396789988 | Felix Jimenez | Dentist | 1402 Oakfield Dr, Brandon, FL 33511-4853 | 2006-06-15 |
| 1467963843 | Richard A Assing Dds Pa | Dentist | 719 W Robertson St, Brandon, FL 33511-4921 | 2017-10-12 |
| 1851725816 | Van Meter Oral Surgery, LLC | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2013-08-27 |
| 1548403314 | Jack A Davidson Dds Md Pllc | Dentist | 1165 Nikki View Dr, Brandon, FL 33511-4879 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| 1457521163 | Dr Richard K Akin | Dentist | 1013 Highway 90, Bay Saint Louis, MS 39520-1524 | 2008-03-10 |
| 1184802084 | Dr. George W. May, Jr., D.m.d | Dentist | 293 E Layfair Dr, Flowood, MS 39232-9527 | 2008-02-04 |
| 1396920252 | Eric Street Lewis | Dentist | 212 Rawls Dr, Mccomb, MS 39648-2870 | 2008-01-09 |
| 1689888745 | Jason Oser Rosetti | Dentist | 1301 25th Ave, Ste 3, Gulfport, MS 39501-1932 | 2007-05-09 |
| 1831303858 | Tony Dee Hooker | Dentist | 399 Southcrest Ct Ste A, Southaven, MS 38671-4790 | 2007-05-09 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| 1457577686 | Clay Barton Thames | Dentist | 6284 U S Highway 98, Hattiesburg, MS 39402-8531 | 2007-04-17 |
| 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.