| Dr Joseph C Jackson Jr, DDS,PA | |
|
147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 | |
| (727) 415-6389 | |
| Not Available |
| Full Name | Dr Joseph C Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 147 2nd Ave S Ste 308, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801918602 | NPI | - | NPPES |
| 85760 | Other | FL | BCBS |
| 075453601 | Medicaid | FL | |
| 075453600 | Medicaid | FL | |
| 59-2061906 | Other | FL | TAX ID |
| DN5413 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN5413 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph C Jackson Jr, DDS,PA 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 Ph: (727) 415-6389 | Dr Joseph C Jackson Jr, DDS,PA 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 Ph: (727) 415-6389 |
Dr. Nicole D Steliotes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2663 1st Ave N, Saint Petersburg, FL 33713 Phone: 727-332-0505 | |
Dr. Michael C Grant, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7499 Dr Martin Luther King Jr St N, Saint Petersburg, FL 33702 Phone: 727-522-4690 | |
Dr. Melvin H. Cohen, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5454 Central Ave, Suite C, Saint Petersburg, FL 33707 Phone: 727-327-0000 Fax: 727-328-1782 | |
Dr. Dillon Matthew Bale, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7801 Dr Martin Luther King St N, Saint Petersburg, FL 33702 Phone: 727-525-4499 | |
Emily M. Relkin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2950 34th St S, Saint Petersburg, FL 33711 Phone: 727-399-6890 | |
Susan Jaamour, Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 4th St S Unit 441, Saint Petersburg, FL 33701 Phone: 248-917-2301 | |
Denis Bernard Falcon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2299 9th Ave N, Suite 2-a, Saint Petersburg, FL 33713 Phone: 727-321-6155 Fax: 727-323-6840 |