Dana C. Jackson, DDS., PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DANA C. JACKSON, DDS., PLLC

Doing business as

Dana C.Jackson, DDS., PLLC

Practice address

2041 Georgia Ave NW Ste 2066
Washington, DC 20060-0001

Phone

(202) 865-1361

Fax

(202) 865-3323

NPI assigned

Jul 1, 2020

Last updated

Jul 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dana Curtis Jackson Sr., DDSNPI 1922191915

Title

Owner

Phone

(301) 248-3810

Specialties & licenses 1

Addresses

Other names 1

• Dana C.Jackson, DDS., PLLC Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana C. Jackson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Oxon Hill, MD
  • NPI 1922191915
  Authorized official Same address or phone
• Eva R. Scott, D.D.S.

  • Dentist
  • Oxon Hill, MD
  • NPI 1740347616
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1215554639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 PARKSIDE DR",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214228",
            "telephone_number": "301-248-3810",
            "fax_number": "301-449-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 2066",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-1361",
            "fax_number": "202-865-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA C. JACKSON, DDS., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-248-3810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.jackson@howard.edu",
            "affiliation": "N",
            "address_1": "2041 Georgia Ave NW Ste 2066",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200600001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dana C.Jackson, DDS., PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Damon, LICSW
• Alysha Damratowski, LGPC
• Philip Michael Damron, MD
• Firewoini Damte
• Zelekash Damtew
• Dana J Grasso PSYD PLLC (Washington Psychology Associates)
• Molly Dana, LCISW
• Nabie Yahaya Dancay-Bangura
• Brianna Dance
• Ivory Lakeia Dance

• Oral and Maxillofacial Surgery (Dentist) in Washington, DC
• Providers in Washington, DC by specialty
• Oral and Maxillofacial Surgery (Dentist) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.