JACKSON DENTAL


Address: 3100 E Jackson Blvd, Jackson, MO 63755-2957
Phone: 5732435200

JACKSON DENTAL (NPI# 1992136923) 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) 1992136923
Entity Type Organization
Organization Name JACKSON DENTAL
Practice Address 3100 E Jackson Blvd
Jackson
MO 63755-2957
Practice Telephone 5732435200
Practice Fax Number 5732437571
Mailing Telephone 5732435200
Mailing Fax Number 5732437571
Enumeration Date 2013-12-02
Last Update Date 2013-12-02
Authorized Official Name DR. CODY BELL (OWNER)
Authorized Official Telephone 5732435200
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers
Y 122300000X Dentist 2011014478 MO Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407120504 Jackson Dental Dentist 456 S Main St, Lapeer, MI 48446-2427 2012-03-07

Office Location

Street Address 3100 E JACKSON BLVD
City JACKSON
State MO
Zip Code 63755-2957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255491080 Robert Etherton Dentist 3100 E Jackson Blvd, Jackson, MO 63755-2957 2006-12-11
1093008898 Cody Wayne Bell Dentist 3100 E Jackson Blvd, Jackson, MO 63755-2957 2011-05-26
1568505634 Freeman S. Williams Dentist 3100 E Jackson Blvd, Jackson, MO 63755-2957 2007-02-15
1932260338 Jackson Dental, LLC Dentist 3100 E Jackson Blvd, Jackson, MO 63755-2957 2006-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942847413 Southeast Hospital Pharmacy 2600 E. Main Street, Suite 113, Jackson, MO 63755 2019-12-04
1215438585 The Villas of Jackson LLC Assisted Living Facility 670 Broadridge, Jackson, MO 63755 2018-02-22
1346637865 Vitality Clinic Health Educator 111 N. Missouri Street, Jackson, MO 63755 2015-04-22
1144569567 Rock Care In Home Services, LLC Nursing Care 204 S Union Ave, Jackson, MO 63755 2013-02-05
1447506381 Morgan Allyce Strand Optometrist 2954 E. Jackson Blvd, Jackson, MO 63755 2012-07-30
1154689321 Benjamin Gail Goodier Dentist 3100 East Jackson Blvd., Jackson, MO 63755 2012-04-25
1912278987 Guardian Angels Homecare, LLC Nursing Care 1335 Old Cape Rd., Suite F, Jackson, MO 63755 2012-01-23
1528357829 Sydney Nicole Cheek Technician, Other 107 Cottonwood St., Jackson, MO 63755 2011-04-07
1215162920 Troy L Bell Od & Associates, PC Optometrist 2594 E Jackson Blvd, Jackson, MO 63755 2009-05-26
1932398021 Immediate Healthcare, Inc. General Practice 1508 Edgemont Blvd, Perryville, MO 63755 2007-10-15
Find all providers in zip 63755

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619595295 Charles Austin Huffman Dentist 1189 E County Line Rd, Jackson, MS 39211-1836 2020-07-09
1184249278 Sleep Better Solutions LLC Dentist 9 Chatwick Cv, Jackson, TN 38305-5642 2020-06-15
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1124689864 Hannah Farrar Dentist 2064 S Highland Ave, Jackson, TN 38301-7741 2019-06-24
1417515214 Richard Yoo Dentist 3857 Cooper St Ofc, Jackson, MI 49201-7547 2019-06-05
1487148078 Tanvi Patil Dentist 1074 Jackson Crossing, Jackson, MI 49202-2039 2018-06-18
1487183737 Arkady Khaykin Dentist 24 N Cooks Bridge Rd, Jackson, NJ 08527 2017-06-09
1497292239 Advanced Dental Clinic Dentist 1555 E County Line Road, Jackson, MS 39211 2017-01-31
1598131336 S Kaur Dds Inc Dentist 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 2015-08-17
1841675931 Miriam Tygier Furlong Dentist 186 W Veterans Hwy, Jackson, NJ 08527-3410 2015-07-30
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 63755

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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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