James L Derrico is a Dentist in Jackson, . James L Derrico practices all healthcare services and medical treatments related to Dentist. The NPI Number for James L Derrico is 1891801585. The last update date is 2023-05-07.
James L Derrico's current location address is Po Box 806, Jackson, . You can contact this provider via phone number 6303997367. The mailing address for James L Derrico is Po Box 806, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | James L Derrico |
|---|---|
| Address | Po Box 806, Jackson, |
| Phone Number | 6303997367 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, LLC |
NPI Number Detail
| NPI Number | 1891801585 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2023-05-07 |
Provider Mailing Address Detail
| Address | Po Box 806 |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 830010806 |
| Phone Number | 6303997367 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1509 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to James L Derrico by the Centers for Medicare & Medicaid Services?
The James L Derrico has been issued the NPI (National Provider Identifier) 1891801585, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where James L Derrico is physically located?
The James L Derrico is situated at the following address: Po Box 806, Jackson, WY 830010806.
What is the area of specialization for James L Derrico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James L Derrico is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the James L Derrico receive its 1891801585 assignment from the Centers for Medicare & Medicaid Services?
The James L Derrico was assigned its 1891801585 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date was the information regarding James L Derrico, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James L Derrico, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-05-07.