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CHARLES RUSSELL JACKSON DDS
NPI 1306929856
Dentist - Endodontics in Morgantown, WV

Active since October 20, 2006
1 MED CENTER DIRVE, MORGANTOWN, WV 26506(304) 293-2240 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Russell Jackson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES RUSSELL JACKSON DDS (NPI 1306929856) is an individual endodontics provider in Morgantown, West Virginia, licensed in West Virginia (2122) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1306929856
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameCHARLES RUSSELL JACKSONCredential: DDS
Location Address1 MED CENTER DIRVEMorgantown, WV 26506
Mailing Address1 Med Center DirveMorgantown, WV 26506 · (304) 293-2240
Phone(304) 293-2240
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306929856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in WV · 2122
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1 MED CENTER DIRVE, Morgantown, WV 26506
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1306929856. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Charles Jackson located?

Charles Jackson practices at 1 Med Center Dirve, Morgantown, WV 26506. The listed phone number is (304) 293-2240.

What is Charles Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.