DR. GLENN D JACKSON (NPI# 1922028356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922028356 |
| Entity Type | Individual |
| Full Name | DR. GLENN D JACKSON |
| Credential | DMD |
| Practice Address |
9 Nason St Maynard MA 01754 |
| Practice Telephone | 9788479407 |
| Practice Fax Number | 9788973764 |
| Mailing Telephone | 9788479407 |
| Mailing Fax Number | 9788973764 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14629 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134448913 | Glenn Allen Jackson II | Case Manager/Care Coordinator | 6736 S Peoria Ave Apt 221, Tulsa, OK 74136-3649 | 2010-05-19 |
| 1831720093 | Glenn Jackson Jr. | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2020-01-27 |
| 1568833283 | Glenn Jackson | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2015-10-08 |
| Street Address |
9 NASON ST |
| City | MAYNARD |
| State | MA |
| Zip Code | 01754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998765 | Sarah A. Measures | Counselor | 17 Sunset Rd., Maynard, MA 01754 | 2014-11-04 |
| 1164556205 | Town of Maynard Ambulance Service | Ambulance | 1 Summer St., Maynard, MA 01754 | 2007-03-14 |
| 1013139955 | Ann Marie Edson | Nurse Practitioner | 2 Brian Way, Maynard, MA 01754-0000 | 2007-05-02 |
| 1730684622 | Patricia White | Occupational Therapist | 29 Durant Ave, Maynard, MA 01754-1034 | 2018-03-24 |
| 1811539893 | Kaitlynne Lee Vasquez | Counselor | 19 Nick Ln, Maynard, MA 01754-1041 | 2019-10-11 |
| 1750562757 | Debora Hobbs | Developmental Therapist | 18 Rickey Dr, Maynard, MA 01754-1052 | 2007-11-18 |
| 1992173934 | Rachel Ann Macgillivary | Counselor | 44 Brown St, Maynard, MA 01754-1231 | 2015-09-08 |
| 1821235607 | Anne Elizabeth Manning | Counselor | 9 Pleasant St, Maynard, MA 01754-1331 | 2009-01-15 |
| 1003391178 | Elizabeth A Rubio | Social Worker | 24 Lewis St, Maynard, MA 01754-1346 | 2018-09-25 |
| 1003899568 | Eileen Geralyn Cejka | Chiropractor | 1 Pleasant St, Maynard, MA 01754-1360 | 2005-11-29 |
| Find all providers in zip 01754 | ||||
| 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 |
|---|---|---|---|---|
| 1861531337 | Ronald E Rosen | Dentist | 47 Nason St, Maynard, MA 01754-2501 | 2007-02-05 |
| 1245753144 | Nabil Khan | Dentist | 14 Main St, Maynard, MA 01754-2506 | 2017-07-23 |
| 1407236839 | Nexus Dental, PC | Dentist | 16 Main St, Maynard, MA 01754-2506 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213821 | Rebekah Collins | Dentist | 95 University Ave Unit 2232, Westwood, MA 02090-2379 | 2020-10-22 |
| 1902405202 | Robert Marc Grassi | Dentist | 18 Sussex Rd, Winchester, MA 01890-3849 | 2020-10-19 |
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1548877897 | Alexandra Gilbert | Dentist | 15 Williams St, Beverly, MA 01915-2323 | 2020-09-29 |
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.