DR LORIN ERIC JACKREL, DMD, PC (NPI# 1972061364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972061364 |
| Entity Type | Organization |
| Organization Name | DR LORIN ERIC JACKREL, DMD, PC |
| Practice Address |
2150 S Dobson Rd Ste 2 Mesa AZ 85202-6487 |
| Practice Telephone | 4808972888 |
| Practice Fax Number | 4808970678 |
| Mailing Telephone | 4808972888 |
| Mailing Fax Number | 4808970678 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | DR. LORIN ERIC JACKREL (DENTIST) |
| Authorized Official Telephone | 4808972888 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr Eric Jackrel, DMD, PC | Doing Business As Name - Organization |
| Street Address |
2150 S DOBSON RD STE 2 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1366906190 | Bella Via Dental, Pllc | Clinic/Center | 4425 S Mountain Rd Ste 106, Mesa, AZ 85212-7132 | 2019-01-25 |
| 1497271068 | Mesa Dental Pllc | Clinic/Center | 1423 S Higley Rd Ste 101, Mesa, AZ 85206-3449 | 2017-08-16 |
| 1851815575 | Crismon Road Dmso LLC | Clinic/Center | 1157 S Crismon Rd Ste 103, Mesa, AZ 85208-2661 | 2017-08-03 |
| 1386847218 | Arizona Dental Health, Inc. | Clinic/Center | 2500 S. Power Rd. Ste. 105, Mesa, AZ 85209 | 2007-06-07 |
| 1821607342 | Central Valley Dental Care LLC | Clinic/Center | 5440 E Southern Ave Ste 107, Mesa, AZ 85206-2779 | 2020-07-30 |
| 1497379564 | Denver J. Palmer, D.m.d., P.C. | Clinic/Center | 6852 E Brown Rd, Mesa, AZ 85207-3706 | 2020-06-03 |
| 1386278679 | Advanced Dental Prosthetics | Clinic/Center | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2020-02-26 |
| 1447898481 | Ge Dental Pllc | Clinic/Center | 944 N Gilbert Rd Ste 104, Mesa, AZ 85203-5836 | 2019-12-19 |
| 1891339727 | Dental Innovations | Clinic/Center | 160 S Power Rd, Mesa, AZ 85206-5230 | 2019-11-04 |
| Find all providers in MESA | ||||
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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.