Dana C. Jackson, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9883 Issued in MD

Practice address

6710 Oxon Hill Rd
Suite #350
Oxon Hill, MD 20745-1121

Phone

(301) 248-3810

Fax

(301) 449-6746

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Dental Group of Fort Washington

  • Oral and Maxillofacial Surgery (Dentist)
  • Oxon Hill, MD
  • NPI 1003909011
  NPD (past) Authorized official
• Dana C. Jackson, DDS., PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
  • NPI 1215554639
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922191915",
    "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": "301-390-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD",
            "address_2": "SUITE #350",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451121",
            "telephone_number": "301-248-3810",
            "fax_number": "301-449-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN4466",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "9883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaobi Sandra Ikedilo, PHARMD
• Imed Surgical of Oxon Hill PC
• Integrated Mental Health Services, LLC
• Iradj Sadeghian MD & Associates
• Kafayat Folake Iyanda, DPT
• Gabrielle Jackson, LICSW, LCSW, LCSW-C
• Lakeisha Renee Jackson, LCSW-C
• Niesha Yolanda Jackson
• Jafar Nazemian M.D. P.a.
• Jalal Saied MD LLC (X'cel Primary Care)

• Oral and Maxillofacial Surgery (Dentist) in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.