Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659855914 Individual Practitioner Male Practitioner

Dr. Jerome Adrian Jackson , DDS

Dentist • Montross, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Jackson, DDS is a registered healthcare professional specializing in Dentist in Montross, VA. Practice services are available at 18849 KINGS HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18849 Kings Hwy

Montross, VA 225202965

Telephone 8044939999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Montross, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Montross, VA (2514 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: 2021-06-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401416132

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License ME DEN4663

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

10 Associated Practitioners
Heidi Epp-Kapataidakis , FNP-BC

Nurse Practitioner - Family

NPI 1053252189

Family Nurse Practitioner (Board Certified)

Dr. Lisa Brown , MD

Family Medicine

NPI 1295729341

Doctor of Medicine (M.D.)

Colleen Collins , NP

Nurse Practitioner - Family

NPI 1427036623

Nurse Practitioner

Dr. Angela Ernst , MD

Family Medicine

NPI 1528069002

Doctor of Medicine (M.D.)

Deanna Lavery , LCSW

Social Worker - Clinical

NPI 1598503070

Licensed Clinical Social Worker

Sandra Hall , LCSW

Social Worker - Clinical

NPI 1659599025

Licensed Clinical Social Worker

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 01, 2021

Registered at 18849 KINGS HWY, MONTROSS, VA 225202965 (Tel: 8044939999)

📍
Updated Business Mailing Address June 01, 2021

Registered at 18849 KINGS HWY, MONTROSS, VA 225202965 (Tel: 8044939999)

📍
Updated Practice Location September 24, 2019

Registered at 2100 MILLER PARK WAY, WEST MILWAUKEE, WI 532191641 (Tel: 4146454540)

NPI Profile Active September 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2018

Registered at 62 CORPORATE DR # 4401, BANGOR, ME 044014360 (Tel: 2079477503)

📍
Updated Business Mailing Address September 21, 2018

Registered at 62 CORPORATE DR # 4401, BANGOR, ME 044014360 (Tel: 2079477503)

👤
Provider Name / Credentials Updated September 21, 2018

Recorded as JEROME JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2018

Dentist (License #DEN4663 in ME)

🟢
Initial NPI Registration & Enumeration September 21, 2018

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: 1659855914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2018
Last Update: June 01, 2021
Sole Proprietor: Yes

Mailing Address

18849 Kings Hwy

Montross, VA 225202965

Phone: 8044939999

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.