Jackson Reza Moezi in Vacaville - Dentist
Jackson Reza Moezi - NPI 1073636445
Jackson Reza Moezi is a Dentist in Vacaville, California. Jackson Reza Moezi practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jackson Reza Moezi is 1073636445. The last update date is 2016-08-03.
Jackson Reza Moezi's current location address is 1350 Burton Dr, Vacaville, California. You can contact this provider via phone number 7074467701 and fax number 7074461628. The mailing address for Jackson Reza Moezi is 1350 Burton Dr, Vacaville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson Reza Moezi |
|---|---|
| Address | 1350 Burton Dr, Vacaville, California |
| Phone Number | 7074467701 |
| Fax Number | 7074461628 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1073636445 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2016-08-03 |
Provider Mailing Address Detail
| Address | 1350 Burton Dr |
|---|---|
| City | Vacaville |
| State | California (CA) |
| Post Code | 956873542 |
| Phone Number | 7074467701 |
| Fax Number | 7074461628 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 37707 |
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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 Jackson Reza Moezi by the Centers for Medicare & Medicaid Services?
The Jackson Reza Moezi has been assigned the NPI (National Provider Identifier) 1073636445. 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 Jackson Reza Moezi located?
The Jackson Reza Moezi is located at 1350 Burton Dr, Vacaville, CA 956873542.
What is Jackson Reza Moezi's area of expertise and its corresponding taxonomy classification?
The Jackson Reza Moezi's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the Jackson Reza Moezi receive its 1073636445?
The Jackson Reza Moezi was issued its 1073636445 on 2007-04-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Jackson Reza Moezi most recently updated or refreshed?
The details pertaining to the Jackson Reza Moezi, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-03.