DR. PHILIP RODNEY JACKSON (NPI# 1790963916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790963916 |
Entity Type | Individual |
Full Name | DR. PHILIP RODNEY JACKSON |
Credential | D.M.D |
Practice Address |
3790 Fernandina Rd Suite 201 Columbia SC 29210-3864 |
Practice Telephone | 8037500044 |
Practice Fax Number | 8037500021 |
Mailing Telephone | 8037500044 |
Mailing Fax Number | 8037500021 |
Enumeration Date | 2008-02-11 |
Last Update Date | 2008-02-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 2416 | SC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437174638 | Philip Jackson | Pediatrics | 2500 Hamlin Dr, Inkster, MI 48141-2348 | 2006-07-12 |
1811350705 | Philip Larkin Jackson IIi | Emergency Medicine | 211 E Ontario St, Suite 200, Chicago, IL 60611-3468 | 2016-03-30 |
1780836437 | Philip Morgan Jackson | Social Worker | 220 Danville Corner Rd, Auburn, ME 04210-8605 | 2008-10-14 |
1306852678 | Philip C Jackson Jr. | Internal Medicine | 1301 W 38th St #205, Austin, TX 78705-1011 | 2006-07-31 |
Street Address |
3790 FERNANDINA RD SUITE 201 |
City | COLUMBIA |
State | SC |
Zip Code | 29210-3864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871771097 | Jackson Smile Studio, LLC | Dentist | 3790 Fernandina Rd, Suite 201, Columbia, SC 29210-3864 | 2008-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
Find all providers in zip 29210 |
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 |
---|---|---|---|---|
1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
1104304393 | Signature Smiles, LLC | Dentist | 1730 Henderson St Ste A, Columbia, SC 29201-2648 | 2018-07-31 |
1255837167 | Ivan Liang Zhang | Dentist | 10910 Little Patuxent Pkwy Ste 103r, Columbia, MD 21044-3081 | 2018-04-01 |
1831605401 | Bela Family Dentistry of Sandhills | Dentist | 126 Barton Creek Ct, Columbia, SC 29229-8027 | 2017-12-19 |
1588175087 | Palmetto Mobile Dental Centers LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2017-10-24 |
1619491461 | Jacquelyn L Wiles | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2017-08-02 |
Find all providers in COLUMBIA |
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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.