Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871930099 Individual Practitioner Female Practitioner

Dr. Melissa D Jackson , DMD

Dentist - General Practice • Edgewood, NM

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Jackson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Edgewood, NM. Practice services are available at EDGEWOOD DENTAL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Edgewood Dental
7 Municipal Way

Edgewood, NM 87015

Telephone 5052813406
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edgewood, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Edgewood, NM (761 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DD3828

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Saverio Sava , MD

Family Medicine

NPI 1063494409

Doctor of Medicine (M.D.)

Nathan Cogburn , FNP

Nurse Practitioner - Family

NPI 1083470116

Family Nurse Practitioner

Dr. Craig Testerman , DDS

Dentist - Dental Public Health

NPI 1194383752

Doctor of Dental Surgery

NPI 1265449094

Doctor of Medicine (M.D.)

NPI 1396273892

Licensed Master Social Worker, LSAA

Lisa Torres , PA

Physician Assistant - Medical

NPI 1760887376

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address October 17, 2024

Registered at PO BOX 913353, DENVER, CO 802912678 (Tel: 5052415182)

📍
Updated Practice Location March 13, 2024

Registered at EDGEWOOD DENTAL, 7 MUNICIPAL WAY, EDGEWOOD, NM 87015 (Tel: 5052813406)

📍
Updated Practice Location April 26, 2019

Registered at 7 MUNICIPAL WAY, EDGEWOOD, NM 87015 (Tel: 5052813406)

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 2116 HINKLE ST SE, ALBUQUERQUE, NM 871024930 (Tel: 5058437493)

📍
Updated Business Mailing Address October 23, 2014

Registered at 8604 SIMI LN NE, ALBUQUERQUE, NM 871131978 (Tel: 5054123531)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as MELISSA JACKSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Dentist (License #DD3828 in NM)

🟢
Initial NPI Registration & Enumeration May 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871930099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2013
Last Update: October 17, 2024
Sole Proprietor: No

Mailing Address

Po Box 913353

Denver, CO 802912678

Phone: 5052415182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.