DR. JORDAN N JACKSON (NPI# 1790396802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790396802 |
| Entity Type | Individual |
| Full Name | DR. JORDAN N JACKSON |
| Credential | DDS |
| Practice Address |
8955 Wood Rd Bethesda MD 20889-5628 |
| Mailing Address |
5405 Tuckerman Ln Apt 544 North Bethesda MD 20852-7318 |
| Practice Telephone | 3012950145 |
| Mailing Telephone | 2403837676 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17020 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1891315222 | Jordan Tyler Jackson | Student in an Organized Health Care Education/Training Program | 19512 Crest Ridge Dr, Edmond, OK 73012-3504 | 2020-04-27 |
| 1639712581 | Jordan Leigh Jackson | Counselor | 1914 5th Ave S, Irondale, AL 35210 | 2019-10-23 |
| 1205285160 | Jordan Aaron Jackson | Family Medicine | 7101 Jahnke Rd # 7151, Richmond, VA 23225-4017 | 2016-06-10 |
| 1942801923 | Jordan Jackson | Behavior Technician | 51145 Nicolette Dr, Chesterfield, MI 48047-4585 | 2020-11-05 |
| 1649881939 | Jordan Michelle Jackson | Behavior Technician | 6925 Parkdale Pl, Indianapolis, IN 46254-4673 | 2020-08-11 |
| 1619501004 | Jordan Jackson | Counselor | 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-6673 | 2020-02-25 |
| 1225598865 | Jordan Van Jackson | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-20 |
| 1811462898 | Jordan Jackson | Case Manager/Care Coordinator | 203b Westport Dr, Cabot, AR 72023-3657 | 2018-10-05 |
| 1902382161 | Jordan Jackson | Case Manager/Care Coordinator | 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 | 2018-07-11 |
| Street Address |
8955 WOOD RD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285828376 | John E Schmidt | Psychologist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2007-08-31 |
| 1629699053 | Veronica Wright | Student in an Organized Health Care Education/Training Program | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2020-04-27 |
| 1245882752 | Jocelyn Lawrence | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2019-07-15 |
| 1588187611 | Alison Christy Novakovic | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2017-07-20 |
| 1437672649 | Alison Marie Wehde | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2017-07-19 |
| 1306369889 | Diewitt Duong | Dentist | 8955 Wood Rd, Bethesda, MD 20889 | 2017-07-17 |
| 1972952067 | Frank Iner Gentz | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2016-06-09 |
| 1477938926 | Svetlin Penchev | Dentist | 8955 Wood Rd, Building 1, Office 2414, Bethesda, MD 20889-5628 | 2015-07-27 |
| 1215311899 | Patrick Mccurdy | Dentist | 8955 Wood Rd, Bethesda, MD 20889-5628 | 2015-07-14 |
| 1467849018 | Dean Drizin | Student in an Organized Health Care Education/Training Program | 8955 Wood Rd, Building 1, Floor 19, Room 19107, Bethesda, MD 20889-5628 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| 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 |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1518516194 | Drake Winslow Williams | Dentist | 10 Center Dr Rm 1b01, Bethesda, MD 20892-0001 | 2019-09-06 |
| 1003388612 | Marie Kao-hsieh | Dentist | 10 Center Dr Room 1n117a, Bethesda, MD 20892-0001 | 2018-12-20 |
| 1689160921 | Peter Joung Hoon Lee | Dentist | 8901 Wisconsin Ave Fl 2, Bethesda, MD 20889-0004 | 2018-07-10 |
| 1942619457 | Pamela Gardner | Dentist | Nih Nidcr Dental Clinic, 10 Center Drive, 10/1n117, Bethesda, MD 20892-0001 | 2014-08-08 |
| 1164843785 | Jonathan A Morris Dds, PC | Dentist | 8218 Wisconsin Ave Ste 404, Bethesda, MD 20814-3107 | 2013-12-27 |
| 1427480151 | William Sidney Blackmore | Dentist | 9222 E Parkhill Dr, Bethesda, MD 20814-3949 | 2013-08-05 |
| 1538509393 | Christopher Joseph Puglisi | Dentist | 2 Ardmore Ct, Bethesda, MD 20816-2015 | 2013-06-26 |
| 1578844965 | Michael Bradford Harper | Dentist | Walter Reed Natl Military Ctr, Bldg # 17 Room # 3140, Bethesda, MD 20889-5600 | 2011-08-30 |
| 1669760195 | Divine Smiles Dentistry | Dentist | 8001 Wisconsin Ave, Suite 103, Bethesda, MD 20814-3602 | 2011-07-19 |
| Find all providers in BETHESDA | ||||
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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.