Melissa D Jackson, DMD | |
Edgewood Dental, 7 Municipal Way, Edgewood, NM 87015 | |
(505) 281-3406 | |
Not Available |
Full Name | Melissa D Jackson |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | Edgewood Dental, Edgewood, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871930099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD3828 (New Mexico) | Primary |
Entity Name | First Choice Community Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
Mailing Address | Practice Location Address |
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Melissa D Jackson, DMD 8604 Simi Ln Ne, Albuquerque, NM 87113-1978 Ph: (505) 412-3531 | Melissa D Jackson, DMD Edgewood Dental, 7 Municipal Way, Edgewood, NM 87015 Ph: (505) 281-3406 |
Louis R Bush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-873-7405 Fax: 505-873-7444 | |
Dr. Craig Testerman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 Fax: 505-224-8737 | |
Dr. Shamaine Spencer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-224-8718 Fax: 505-224-8737 | |
Dr. Stephen L Harrington, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1851 Old Hwy 66, Suite C, Edgewood, NM 87015 Phone: 505-281-0373 | |
Dr. Suzanne Mcginty, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1917 Old Hwy 66, St. A, Edgewood, NM 87015 Phone: 505-281-0373 | |
Dr. Dennis W. Jackson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 164 Square H Rd, Edgewood, NM 87015 Phone: 505-610-7885 |