MEDICARE: DEMENT CHIROPRACTIC & FITNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7278-DC	TX

General Provider Information

NPI Number	:	1174532709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEMENT CHIROPRACTIC & FITNESS CENTER

Provider Business Mailing Address
First Line	:	2045 S JACKSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-5821
Country	:	US
Telephone Number	:	903-589-5301
Fax Number	:	903-586-1561

Provider Business Practice Location Address
First Line	:	2045 S JACKSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-5821
Country	:	US
Telephone Number	:	903-589-5301
Fax Number	:	903-586-1561

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHARLES DEMENT
Credential	:	D.C.
Telephone Number	:	903-589-5301

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1295919538 — GREGORY M STIRNEMAN DPM PA
Practice Location Address:

2011 S JACKSON ST
JACKSONVILLE, TX
75766-5821

Practice Phone: 903-586-7979
Practice Fax: 903-589-0487

1770829814 — BRAD GLENN CARROLL D.C.
Practice Location Address:

2045 S JACKSON ST
JACKSONVILLE, TX
75766-5821

Practice Phone: 903-586-3667
Practice Fax: 903-586-6404

1427199686 — AGAPE HOME SERVICES, INC
Practice Location Address:

5821 MINERS POINT CT
JACKSONVILLE, FL
32218-7325

Practice Phone: 904-768-7258
Practice Fax:

1649024597 — MS. SANSHEA GREEN
Practice Location Address:

5821 SAN JUAN AVE APT 130
JACKSONVILLE, FL
32210-3014

Practice Phone: 904-731-6327
Practice Fax:

1710731567 — GLORY BOUND HANDS FOR HEALTH LLC
Practice Location Address:

5821 SAN JUAN AVE APT 130
JACKSONVILLE, FL
32210-3014

Practice Phone: 904-731-6327
Practice Fax:

1356805956 — BERYL THOMPSON APRN, FNP
Practice Location Address:

305 W RUSK ST
JACKSONVILLE, TX
75766-2337

Practice Phone: 903-393-3594
Practice Fax:

Directions to “DEMENT CHIROPRACTIC & FITNESS CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.