DR. HENRY LEE JACKSON JR. (NPI# 1699213959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699213959 |
| Entity Type | Individual |
| Full Name | DR. HENRY LEE JACKSON JR. |
| Credential | DDS |
| Practice Address |
334 E Hanes Mill Rd Winston Salem NC 27105-9135 |
| Mailing Address |
145 Crowne Chase Dr Apt 16 Winston Salem NC 27104-3582 |
| Practice Telephone | 3364502077 |
| Mailing Telephone | 6316711137 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10922 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147116 | Henry Jackson | Dentist | 55 Glenda Trce, Newnan, GA 30265-3887 | 2019-07-25 |
| 1124441621 | Henry Edward Jackson | Kinesiotherapist | 1703 Georgia Ave, Richmond, VA 23220 | 2014-02-04 |
| 1063667053 | Henry Jackson | Physical Therapist | 5605 Tilden Ave, Brooklyn, NY 11203-4819 | 2008-11-18 |
| 1497953368 | Henry Benson Jackson | Social Worker | 10 Peterboro Det. Central City Community Mental Health, Detroit, MI 48201-2722 | 2007-07-03 |
| 1871610899 | Henry Clarke Jackson Jr. | Specialist/Technologist | 1119 Veterans Dr, Florence, AL 35630-4951 | 2007-03-23 |
| 1679549836 | Henry A Jackson | Internal Medicine | 4224 Houma Blvd Ste 380, Metairie, LA 70006-2980 | 2006-02-27 |
| 1568833606 | Henry Jackson | Social Worker | 1500 Waters Pl, Bronx, NY 10461-2723 | 2015-10-15 |
| 1558624866 | Henry Carson Jackson | Family Medicine | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1117 | 2012-06-21 |
| 1811280902 | Henry Jackson | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2011-05-23 |
| 1285643452 | Henry Jackson | Internal Medicine | 1 Freedom Way, Vamc-augusta-ud (26), Augusta, GA 30904-6258 | 2006-08-05 |
| Street Address |
334 E HANES MILL RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105-9135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
| 1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
| 1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
| 1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
| 1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
| 1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
| 1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
| Find all providers in zip 27105 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591328 | Catherine B. Laws, D.d.s., P.l.l.c. | Dentist | 1309 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2020-05-29 |
| 1558990457 | Roger Alan Horton | Dentist | 2338 Rosewood Ave, Winston Salem, NC 27103-3639 | 2020-04-03 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1336692060 | Blake Patrick Nelson | Dentist | 3066 Trenwest Dr, Winston Salem, NC 27103-3208 | 2016-07-29 |
| 1992165963 | Bryana Williams | Dentist | 3210 Silas Creek Pkwy, #4, Winston Salem, NC 27103-3009 | 2016-03-03 |
| 1104203579 | Koelling & Associates Pllc | Dentist | 5069 University Pkwy, 11, Winston Salem, NC 27106-6083 | 2015-05-05 |
| 1225444888 | Peterson & Swartz Dds, Pllc | Dentist | 10479 N. Highway 109, Suite 107 B, Winston Salem, NC 27107-9884 | 2014-07-03 |
| 1487069589 | Meredith Greeson Boyte | Dentist | 3244 Reynolda Road, Winston Salem, NC 27106 | 2014-06-26 |
| 1972920593 | Abrams,cohen,nagel & Associates PC | Dentist | 3768 Creekshire Ct, Winston Salem, NC 27103-1363 | 2014-03-20 |
| 1497001432 | Andrea Robinson | Dentist | 2900 Lyndhurst Ave, Winston Salem, NC 27103-4006 | 2012-07-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27105 |
Please comment or provide details below to improve the information on DR. HENRY LEE JACKSON JR..
| 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.