Timothy Michael Jackson in Elba - Dentist
Timothy Michael Jackson - NPI 1972610947
Timothy Michael Jackson is a Dentist in Elba, Alabama. Timothy Michael Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy Michael Jackson is 1972610947. The last update date is 2007-07-08.
Timothy Michael Jackson's current location address is Po Box 450, Elba, Alabama. You can contact this provider via phone number 3348973418 and fax number 3348973438. The mailing address for Timothy Michael Jackson is Po Box 450, Elba, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Michael Jackson |
|---|---|
| Address | Po Box 450, Elba, Alabama |
| Phone Number | 3348973418 |
| Fax Number | 3348973438 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1972610947 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 450 |
|---|---|
| City | Elba |
| State | Alabama (AL) |
| Post Code | 36323 |
| Phone Number | 3348973418 |
| Fax Number | 3348973438 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4025 |
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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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Post Comment/ Review Below
What is the Timothy Michael Jackson's 1972610947?
The Timothy Michael Jackson's NPI (National Provider Identifier) Number is 1972610947. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Timothy Michael Jackson is physically located?
The Timothy Michael Jackson is physically situated at the following address: Po Box 450, Elba, AL, 36323.
What is Timothy Michael Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy Michael Jackson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When did the Timothy Michael Jackson receive its 1972610947?
The Timothy Michael Jackson was issued its 1972610947 on 2006-08-24, which is the date when the organization was assigned this unique identifier.
When was the Timothy Michael Jackson's information last updated?
The Timothy Michael Jackson's information was last updated on 2007-07-08.