OrganizationActive
Leroy R Jackson Jr DDS PLLC
NPI 1497010136 · Dental Clinic/Center · Ranson, WV
Provider details
- NPI number
- 1497010136
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ellen Rossberg, Owner(904) 725-6634
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
215 E 5th Ave
Ranson, WV 25438-1613
Phone: (304) 725-8660
Fax: (304) 728-7519
Approximate (ZIP-level) locationGet directions
Mailing address
215 E 5th Ave
Ranson, WV 25438-1613
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.