Mr. Ron Darryl Jackson is a Saint Louis, Missouri based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Ron Darryl Jackson is 012608 for Dentistry in Missouri. His current practice location is 5471 Dr Martin Luther King Dr, Saint Louis. Patients can reach him at 314-367-5820.
Mr. Ron Darryl Jackson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Ron Darryl Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Ron Darryl Jackson
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
5471 Dr Martin Luther King Dr, Saint Louis, Missouri, 63112-4265
Phone:
314-367-5820
Fax:
314-367-7010
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1871586990
NPI Enumeration Date:
24 Aug, 2005
NPI Last Update On:
17 Jun, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ron Darryl Jackson are as mentioned below.
License Number
Specialization
State
Status
012608
Dentistry
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ron Darryl Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
403231020
Medicaid
Missouri
403231038
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4211 Maryland Ave, St. Louis, Missouri
Zip:
63108
Phone Number:
314-367-5820
Fax Number:
314-367-7010
Patients can reach Mr. Ron Darryl Jackson at 5471 Dr Martin Luther King Dr, Saint Louis, Missouri or can call to book an appointment on 314-367-5820. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.