Jack L Fry is a Dentist in Red Bluff, California. Jack L Fry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack L Fry is 1851341903. The last update date is 2012-01-02.
Jack L Fry's current location address is 2500 Main St, Red Bluff, California. You can contact this provider via phone number 5305292567 and fax number 5305292552. The mailing address for Jack L Fry is 2500 Main St, Red Bluff, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Fry |
|---|---|
| Address | 2500 Main St, Red Bluff, California |
| Phone Number | 5305292567 |
| Fax Number | 5305292552 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1851341903 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2012-01-02 |
Provider Mailing Address Detail
| Address | 2500 Main St |
|---|---|
| City | Red Bluff |
| State | California (CA) |
| Post Code | 960802336 |
| Phone Number | 5305292567 |
| Fax Number | 5305292552 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 27132 |
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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 identifier code issued to Jack L Fry by the Centers for Medicare & Medicaid Services?
The Jack L Fry has been assigned the NPI (National Provider Identifier) 1851341903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack L Fry located?
The Jack L Fry is located at 2500 Main St, Red Bluff, CA 960802336.
What is Jack L Fry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack L Fry is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851341903 to Jack L Fry?
The Jack L Fry received its 1851341903 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information related to Jack L Fry most recently updated or refreshed?
The details pertaining to the Jack L Fry, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-02.
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