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

Charles Russell Jackson, DDS

Individual provider Endodontics · NPI 1306929856

Charles Russell Jackson, DDS is an Endodontics in Morgantown, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1 Med Center Dirve
Morgantown, WV 26506
Phone: (304) 293-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 2122 (WV)

Record details

NPI number1306929856
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1 Med Center Dirve, Morgantown, WV 26506

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