Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leroy R Jackson Jr DDS PLLC

Organization Dental Clinic/Center · NPI 1497010136

Leroy R Jackson Jr DDS PLLC is a Dental Clinic/Center in Ranson, West Virginia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

215 E 5th Ave
Ranson, WV 25438-1613
Phone: (304) 725-8660
Fax: (304) 728-7519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1497010136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Rossberg — Owner · (904) 725-6634
NPI enumeratedJuly 9, 2012
Last updated in NPPESJuly 9, 2012
Mailing address215 E 5th Ave, Ranson, WV 25438-1613