DR. DENNIS W. JACKSON D.D.S.
NPI 1881999761
Dentist in Edgewood, NM

Active since January 24, 2011PECOS Enrolled
164 SQUARE H RD, EDGEWOOD, NM 87015(505) 610-7885 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dentist
  • PECOS Enrolled

About DENNIS JACKSON

This page provides the complete NPI Profile along with additional information for Dennis Jackson, a provider established in Edgewood, New Mexico with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1881999761 assigned on January 2011. The practitioner's primary taxonomy code is 122300000X with license number DD2699 (NM). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1881999761 Verify this NPI
Provider Name
DR. DENNIS W. JACKSON D.D.S.
Gender
Male
Entity Type
Individual
Location Address
164 SQUARE H RD EDGEWOOD, NM 87015
Location Phone
(505) 610-7885
Mailing Address
164 SQUARE H RD EDGEWOOD, NM 87015
Mailing Phone
(505) 610-7885
Is Sole Proprietor?
Yes
Enumeration Date
01-24-2011
Last Update Date
01-24-2011
Code Navigator

A dentist like Dennis Jackson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DD2699
License State
NM
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Dennis Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 87015 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.79
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $21.19
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DENNIS W. JACKSON D.D.S.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881999761, enumerated as an "individual" on January 24, 2011.

The provider is located at 164 SQUARE H RD EDGEWOOD, NM 87015 and the phone number is (505) 610-7885.

Dentist with taxonomy code 122300000X.