Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES RUSSELL JACKSON, DDS
ActiveCHARLES RUSSELL JACKSON, DDS is a Endodontics healthcare provider located in MORGANTOWN, West Virginia. NPI 1306929856 is currently active in the NPPES registry. Verify at CMS.
Endodontics · MORGANTOWN, WV
Registration Details
- NPI Number
- 1306929856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.629036146614 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2122 (WV)
Practice Information
- Address
-
1 MED CENTER DIRVEMORGANTOWN, WV, 26506Browse WV providers · Browse ZIP 26506
- Phone
- 3042932240
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in MORGANTOWN, WV
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY GARY MINCHAU | DDS,MS | 1689895815 |
| DR. KENT ALEXANDER MCBRIDE | D.D.S., M.S. | 1174721393 |
| DR. SPENCER RAY STILES | — | 1922261908 |
| DR. LAUREN PECTYO NAMSUPAK | DDS | 1578728457 |
| DR. SEAN MICHAEL HORAN | D.D.S. | 1235572033 |
| DR. ANDREW MICHAEL MARRA | DDS | 1972163558 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.