Active NPIIndividual providerSole proprietor

Dr. Melanie W Jackson, DDS

Dentist, General Practice in White Plains, New York

NPI Number1841406030
Practice location
280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438
Fax
914-949-7887
Last updated
July 8, 2007

Melanie Wilma Jackson is a Dentist, General Practice based in White Plains, NY. Melanie Wilma Jackson practices in White Plains, NY and has the professional credentials of DDS. The NPI Number for Melanie Wilma Jackson is 1841406030 and holds a License No. 041868 (NY). The current practice location address for Melanie Wilma Jackson is 280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438 and can be reached out via phone at 914-949-7417 and via fax at 914-949-7887.

Provider Profile Details

NPI Number
1841406030
Provider Name
Melanie Wilma Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438
Phone Number
914-949-7417
Fax Number
914-949-7887
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 Mamaroneck Ave
Suite 305
White Plains, NY 10605-1438
Zip
10605-1438
Phone Number
914-949-7417
Fax Number
914-949-7887
White Plains, NY 10605Get directions →

Provider Business Mailing Address Details

Address
280 Mamaroneck Ave
Suite 305
White Plains, NY 10605-1438
City
White Plains
State
NY
Zip
10605-1438
Phone Number
914-949-7417
Fax Number
914-949-7887

License Information

License Number
041868
License State
NY
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Melanie W Jackson, DDS?

The NPI number of Dr. Melanie W Jackson, DDS is 1841406030. It was assigned on May 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Melanie W Jackson, DDS?

Dr. Melanie W Jackson, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 041868.

Where does Dr. Melanie W Jackson, DDS practice?

The practice location is 280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438. The office can be reached at 914-949-7417 (phone) or 914-949-7887 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841406030 directly on the NPPES registry website.

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