DR. MATTHEW DV JACKSON


Address: 9319 E Harry, #126, Wichita, KS 67207
Phone: 3166837081

DR. MATTHEW DV JACKSON (NPI# 1962481887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962481887
Entity Type Individual
Full Name DR. MATTHEW DV JACKSON
Credential DDS
Practice Address 9319 E Harry
#126
Wichita
KS 67207
Practice Telephone 3166837081
Practice Fax Number 3166838149
Mailing Telephone 3166837081
Mailing Fax Number 3166838149
Enumeration Date 2006-01-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
KS7131 KS Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS BCBS OF KS 059792 01
UNITED CONCORDIA 976141 01

Other Providers MATTHEW JACKSON

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1184278913 Matthew Jackson Student in an Organized Health Care Education/Training Program 540 W 5150 S, Washington Terrace, UT 84405-6530 2019-07-30
1922651041 Matthew Jackson Social Worker 1820 Pleasant Dr, Portage, MI 49002-5604 2019-07-17
1093289795 Matthew Kory Jackson Chiropractor 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 2019-01-15
1932558210 Matthew Jackson Driver 3121 Johnston St Apt 142, Lafayette, LA 70503-3760 2016-06-08
1306237201 Matthew Jackson Specialist/Technologist 51 Edward Rd, Townsend, MA 01469-1107 2015-02-12
1710235452 Matthew Kane Jackson Pharmacist 942 Loy Cemetery Rd, Columbia, KY 42728-8719 2012-08-28
1619103702 Matthew Matthew Jackson Case Manager/Care Coordinator 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 2009-06-03
1609942531 Matthew Bryan Jackson Massage Therapist 2600 Sw Barton Street, Suite A24, Seattle, WA 98126 2006-11-24
1528590460 Matthew Dean Jackson Student in an Organized Health Care Education/Training Program 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 2017-03-30
1699128645 Matthew Jackson Orthopaedic Surgery 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2016-07-14

Office Location

Street Address 9319 E HARRY
#126
City WICHITA
State KS
Zip Code 67207

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225527518 Transition Adult Home Day Training, Developmentally Disabled Services 7422 E Lincoln St, Wichita, KS 67207 2018-05-02
1558734012 Sonnya Natria Adams Point of Service 8722 Longlake Circle, Wichita, KS 67207 2015-11-05
1245623677 Costco Wholesale Corporation Pharmacy 9700 E. Kellogg, Wichita, KS 67207 2015-03-10
1528468105 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 2014-09-02
1962819110 Lauren Carrillo Marriage & Family Therapist 111 S Whittier St Ste 1500, Wichita, KS 67207 2014-07-21
1962827170 Providence Home Health & Hospice LLC. Home Health 9415 E Harry St Ste 703, Wichita, KS 67207 2014-02-25
1396089892 Christina Rhinesmith Speech-Language Pathologist 12618 E Willowgreen Circle, Wichita, KS 67207 2012-11-21
1528360047 Compassionate Care Home Health Agency Home Health 9152 Funston Ct., Wichita, KS 67207 2010-12-04
1477769503 Patricia Marie Sloop Social Worker 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 2007-05-15
1174738298 Jarrod S Steffan Psychologist 9920 East Harry, Wichita, KS 67207 2007-05-11
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417435330 Joseph P Houlik, Dds, LLC Dentist 2759 N Tyler Rd, Wichita, KS 67205-8711 2018-08-02
1982199790 Ashton N Pargman Dentist 8150 E Douglas Ave Ste 10, Wichita, KS 67206-2362 2018-06-25
1801330980 Smile Connections Family Dental, L.L.C. Dentist 250 N Tyler Rd, Wichita, KS 67212-3753 2016-12-08
1295286474 Davis & Dold Dental, LLC Dentist 7570 W 21st St N Ste 1050b, Wichita, KS 67205-1772 2016-10-21
1194173955 Kati Irene Beam Dentist 2222 N Greenwich Rd Ste 400, Wichita, KS 67226-8252 2016-06-01
1942662580 Eric S. Farmer, Dds, P.a. Dentist 7520 W Village Cir, Wichita, KS 67205-9362 2016-03-23
1528424702 Parklane Dental Pa Dentist 980 S Oliver St, Wichita, KS 97218-3216 2016-01-04
1053659508 Nguyen Dmd Pa Dentist 9415 E Harry St Ste 606, Wichita, KS 67207-5082 2013-01-17
1083992655 Kristyn Leanne Barker Dentist 2046 N Oliver Ave, Wichita, KS 67208-2503 2011-07-29
1336427582 Wichita State University Dentist 2838 N. Oliver, Wichita, KS 67220-0157 2011-07-21
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City WICHITA
Zip Code 67207

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Dataset Information

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.

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