DR. CHARLES FORREST JACKSON (NPI# 1770545063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770545063 |
| Entity Type | Individual |
| Full Name | DR. CHARLES FORREST JACKSON |
| Credential | DDS |
| Practice Address |
702 W 34th St Erie PA 16508 |
| Practice Telephone | 8148685411 |
| Practice Fax Number | 8148662105 |
| Mailing Telephone | 8148685411 |
| Mailing Fax Number | 8148662105 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS019797L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
| 1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
| 1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
| 1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
| 1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
| 1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
| 1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
| 1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
| Street Address |
702 W 34TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215902572 | Joel Jay Waldman | Dentist | 702 W 34th St, Erie, PA 16508 | 2006-02-21 |
| 1649756933 | Richard Wilcko | Dentist | 702 W 34th St, Erie, PA 16508-2649 | 2018-07-19 |
| 1154770352 | Julia Renee Deluca | Dentist | 702 W 34th St, Erie, PA 16508-2649 | 2016-06-08 |
| 1073904850 | Erie Sleep Treatment LLC | Dentist | 702 W 34th St, Erie, PA 16508-2649 | 2015-02-14 |
| 1134510001 | Erie Sleep Management LLC | Clinic/Center | 702 W 34th St, Erie, PA 16508-2649 | 2015-02-12 |
| 1497161400 | Andrew Dillner | Dentist | 702 W 34th St, Erie, PA 16508 | 2014-07-10 |
| 1093978348 | Amanda Leigh Cusati | Dentist | 702 W 34th St, Erie, PA 16508-2649 | 2008-07-08 |
| 1255364808 | John H Damcott | Dentist | 702 W 34th St, Erie, PA 16508 | 2006-07-08 |
| 1235191560 | James S Schuster | Dentist | 702 W 34th St, Erie, PA 16508 | 2006-04-03 |
| 1740257922 | Douglas R Weber | Dentist | 702 W 34th St, Erie, PA 16508 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| 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 |
|---|---|---|---|---|
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1043766785 | Affordable Dentures & Implants - Erie, P.c | Dentist | 7200 Peach St Unit 340, Erie, PA 16509-4759 | 2016-09-01 |
| 1326429671 | Neal Patel | Dentist | 440 Erie Parkway, Erie, CO 80516 | 2015-06-12 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1992083935 | David James Demarco | Dentist | 333 State St Ste 310, Erie, PA 16507-1467 | 2011-07-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| 1336438910 | Maryna Petrasheuskaya | Dentist | 1611 State Street, 465, Erie, PA 16501 | 2011-04-04 |
| 1558667840 | James Guido Di Loreto | Dentist | 924 Peach Street, Erie, PA 16501-1404 | 2011-02-03 |
| 1477884898 | Steven Iszkula | Dentist | 3900 Zuck Rd, Erie, PA 16506-4515 | 2010-01-25 |
| Find all providers in ERIE | ||||
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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.