Jeffrey Joe is a Dentist in Modesto, California. Jeffrey Joe practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Joe is 1083697148. The last update date is 2023-03-07.
Jeffrey Joe's current location address is 1121 Hammond St, Modesto, California. You can contact this provider via phone number 2095764437 and fax number 2095764494. The mailing address for Jeffrey Joe is 1121 Hammond St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Joe |
|---|---|
| Address | 1121 Hammond St, Modesto, California |
| Phone Number | 2095764437 |
| Fax Number | 2095764494 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1083697148 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1121 Hammond St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953513509 |
| Phone Number | 2095764437 |
| Fax Number | 2095764494 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 29831 |
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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 issued to Jeffrey Joe by the Centers for Medicare & Medicaid Services?
The Jeffrey Joe has been assigned the NPI (National Provider Identifier) 1083697148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jeffrey Joe's physical address?
The Jeffrey Joe is physically located at 1121 Hammond St, in the city of Modesto, CA, with the postal code 953513509.
What is Jeffrey Joe's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Joe's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083697148 to Jeffrey Joe?
The Centers for Medicare & Medicaid Services originally issued the 1083697148 to Jeffrey Joe on 2005-11-22.
As of what date was the information regarding Jeffrey Joe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Joe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.
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