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LEROY R JACKSON JR DDS PLLC
NPI 1497010136
Clinic/Center - Dental in Ranson, WV

Active since July 09, 2012
215 E 5TH AVE, RANSON, WV 25438(304) 725-8660(304) 728-7519 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leroy R Jackson Jr Dds Pllc NPPES

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

LEROY R JACKSON JR DDS PLLC (NPI 1497010136) is a healthcare organization registered as a dental in Ranson, West Virginia and active in the NPI registry since July 2012. The organization lists Ellen Rossberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1497010136
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLEROY R JACKSON JR DDS PLLC
Location Address215 E 5TH AVERanson, WV 25438-1613
Mailing Address215 E 5th AveRanson, WV 25438-1613
Phone(304) 725-8660
Fax(304) 728-7519
Organization SubpartNo
Authorized OfficialEllen RossbergOwner · (904) 725-6634
Enumeration DateJuly 9, 2012
✔ NPI 1497010136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
215 E 5TH AVE, Ranson, WV 25438
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN A. ZARRINFAR, D.D.S., PLLC
Dentist (General Practice)
215 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 725-8660
TARI ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
215 E 5TH AVE
RANSON, WV 25438
Jefferson County (304) 725-1333

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 Leroy R Jackson Jr Dds PLLC's NPI number?

The NPI number for Leroy R Jackson Jr Dds PLLC is 1497010136. It was assigned to this organization in the NPPES registry on July 9, 2012.

Where is Leroy R Jackson Jr Dds PLLC located?

Leroy R Jackson Jr Dds PLLC is located at 215 E 5th Ave, Ranson, WV 25438. The listed phone number is (304) 725-8660.

What is Leroy R Jackson Jr Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Leroy R Jackson Jr Dds PLLC was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.