OrganizationActive
Leroy R Jackson Jr DDS PLLC
NPI 1497010136 · Dental Clinic/Center · Ranson, WV
Leroy R Jackson Jr DDS PLLC is a Dental Clinic/Center organization in Ranson, WV (NPI 1497010136).
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
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 E 5th Ave
Ranson, WV 25438-1613
Phone: (304) 725-8660
Fax: (304) 728-7519
Street-level locationGet directions
Mailing address
215 E 5th Ave
Ranson, WV 25438-1613
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Frequently asked questions
- What is Leroy R Jackson Jr DDS PLLC's NPI number?
- Leroy R Jackson Jr DDS PLLC's National Provider Identifier (NPI) is 1497010136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leroy R Jackson Jr DDS PLLC?
- Leroy R Jackson Jr DDS PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Leroy R Jackson Jr DDS PLLC located?
- Leroy R Jackson Jr DDS PLLC's practice location on file with NPPES is 215 E 5th Ave, Ranson, WV 25438-1613.
- What is Leroy R Jackson Jr DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Leroy R Jackson Jr DDS PLLC is (304) 725-8660.
- Who is the authorized official for Leroy R Jackson Jr DDS PLLC?
- The authorized official listed on Leroy R Jackson Jr DDS PLLC's NPPES record is Ellen Rossberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leroy R Jackson Jr DDS PLLC's NPI active?
- Yes — Leroy R Jackson Jr DDS PLLC's NPI (1497010136) is active in the NPPES registry as of the last update on 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.