DR. MEGAN GRACE JACKSON (NPI# 1730409798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730409798 |
Entity Type | Individual |
Full Name | DR. MEGAN GRACE JACKSON |
Credential | DMD |
Practice Address |
105 Spruce St Lexington KY 40507-2109 |
Mailing Address |
3161 Hemingway Ln Lexington KY 40513-1859 |
Practice Telephone | 8595595466 |
Mailing Telephone | 8595595466 |
Enumeration Date | 2010-06-01 |
Last Update Date | 2020-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8900 | KY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909388 | Megan Kayla Jackson | Registered Nurse | 110 Southport Rd Apt 43, Spartanburg, SC 29306-3806 | 2020-07-09 |
1659996171 | Megan Denise Jackson | Speech-Language Pathologist | 142 Deepcove Rd, Winter Garden, FL 34787-4389 | 2020-06-10 |
1093216087 | Megan Jackson | Chiropractor | 608 Preston Ave Ste 100, Charlottesville, VA 22903-4566 | 2018-02-24 |
1821513342 | Megan Mcfaddin Jackson | Nurse Practitioner | 494 Baxter St Ste A, Athens, GA 30605-6115 | 2017-08-04 |
1043676901 | Megan Jackson | Counselor | 1308 N 1st Ave # A, Durant, OK 74701-2813 | 2016-01-07 |
1841689155 | Megan Lee Jackson | Physical Therapy Assistant | 718 Wolf Branch Cir, Dillon, SC 29536-7328 | 2015-01-12 |
1316553183 | Megan Nikole Jackson | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-09-17 |
1598312050 | Megan Jackson | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-20 |
1114484151 | Megan Jackson | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-02-26 |
1023531266 | Megan Jackson | Pharmacist | 900 Assembly St, Columbia, SC 29201-3938 | 2017-07-19 |
Street Address |
105 SPRUCE ST |
City | LEXINGTON |
State | KY |
Zip Code | 40507-2109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063941961 | Jane Katherine Jones | Dentist | 105 Spruce St, Lexington, KY 40507-2109 | 2017-06-06 |
1538313531 | Morgan Sherwood Rutledge | Dentist | 105 Spruce St, Lexington, KY 40507-2109 | 2008-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366929077 | Melanie Dailey | Acupuncturist | 465 E High St Ste 208a, Lexington, KY 40507 | 2018-07-25 |
1376030262 | Revive Ministries, Inc | Substance Abuse Rehabilitation Facility | 185 Elm Tree Ln, Lexington, KY 40507 | 2018-04-17 |
1255788089 | Milagros Velazquez | Counselor | 201 Mechanic St., Lexington, KY 40507 | 2016-05-23 |
1326293788 | Kim Michelle Thompson | Family Medicine | 217 Elm Tree Lane, Polk Dalton Clinic, Lexington, KY 40507 | 2008-11-25 |
1932389293 | Lexington Fayette County Health Department | Public Health or Welfare | 161 Bruce St, Lexington, KY 40507 | 2007-11-05 |
1508983800 | Sandra Ann Thomas | Pharmacist | 401 West Main Street, Hutchinson Drugstore, Lexington, KY 40507 | 2007-03-23 |
1508823857 | Lexington Fayette Urban Co Government | Ambulance | 219 E Third St, Lexington, KY 40507 | 2006-04-28 |
1194254458 | Ashley Armstrong | Social Worker | 201 Mechanic St., Lexington, KY 40507 | 2017-06-08 |
1003355942 | Nancy Elaine Garth | Registered Nurse | 217 Elm Tree Lane, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507 | 2017-02-13 |
1467901686 | Megan D Davidson | Case Manager/Care Coordinator | 201 Mechanic St, Lexington, KY 40507 | 2016-09-29 |
Find all providers in zip 40507 |
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 |
---|---|---|---|---|
1164876280 | Kyle Clayton Kirk | Dentist | 2517 Sir Barton Way # 200, Lexington, KY 40509 | 2016-04-14 |
1528429644 | Stephanie Silva | Dentist | 5080 Sunset Blvd Ste B, Lexington, SC 29072-7051 | 2016-03-16 |
1841667037 | Midlands Pediatric Dentistry LLC | Dentist | 253 Cedarcrest Dr, Lexington, SC 29072-3812 | 2015-08-24 |
1639571607 | Sunset Children's Dentistry | Dentist | 5080 Sunset Blvd, Suite B, Lexington, SC 29072-7051 | 2014-09-22 |
1043655392 | Emilee Young Sexton | Dentist | 2549 Sun Seeker Ct, Lexington, KY 40503-2980 | 2013-04-30 |
1295920346 | Wild Smiles, LLC | Dentist | 203 North Lake Drive, Lexington, SC 29072 | 2007-09-12 |
1639361785 | Daniel John Steckler | Dentist | Ky Clinic Dentistry, Room A-219, Lexington, KY 40536-0001 | 2007-08-13 |
1699975904 | Justin C. Clemens | Dentist | 620 Perimeter Dr., Suite 103, Lexington, KY 40517 | 2007-07-24 |
1417078726 | Tommy Christopher Burke | Dentist | 10855 Highway 412 W, Lexington, TN 38351-6283 | 2007-04-03 |
1699819524 | Dentistry for Children | Dentist | 216 Fountain Court, Suite 150, Lexington, KY 40509 | 2007-02-16 |
Find all providers in LEXINGTON |
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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.