| Dr Ernest W Jackson, DDS | |
|
111 S Meramec Ave, Clayton, MO 63105-1711 | |
| (314) 615-8153 | |
| (314) 615-8303 |
| Full Name | Dr Ernest W Jackson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Dental Public Health |
| Location | 111 S Meramec Ave, Clayton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124113246 | NPI | - | NPPES |
| 406024208 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 014969 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ernest W Jackson, DDS 3702 W Truman Blvd Ste 100, Jefferson City, MO 65109-4970 Ph: (573) 635-5315 | Dr Ernest W Jackson, DDS 111 S Meramec Ave, Clayton, MO 63105-1711 Ph: (314) 615-8153 |
Theodore J Deibel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8000 Bonhomme Ave, Suite 422, Clayton, MO 63105 Phone: 314-725-6999 | |
Dr. Robert F Berger, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8000 Bonhomme Ave, Suite 406, Clayton, MO 63105 Phone: 314-721-2113 Fax: 314-721-7462 | |
Mr. Robert Marion Jarrett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 S Meramec Ave, Clayton, MO 63105 Phone: 314-615-8153 | |
Dr. Hiran R Fernando, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 165 N. Meramec Ave, Suite 300, Clayton, MO 63105 Phone: 314-726-2755 Fax: 314-726-9538 | |
Dr. Richard Davidson, D.M.D.,M.S. Dentist Medicare: Medicare Enrolled Practice Location: 950 Francis Pl, Suite 117, Clayton, MO 63105 Phone: 314-721-4860 Fax: 314-721-4860 | |
Mary Mcclellan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 Francis Pl, Suite 310, Clayton, MO 63105 Phone: 314-726-6966 Fax: 314-726-5194 |