James Dean Ridley in Jacksonville - Dentist
James Dean Ridley - NPI 1851361612
James Dean Ridley is a Dentist in Jacksonville, Florida. James Dean Ridley practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Dean Ridley is 1851361612. The last update date is 2012-10-19.
James Dean Ridley's current location address is 1833 Boulevard Street, Jacksonville, Florida. You can contact this provider via phone number 9042322751. The mailing address for James Dean Ridley is 1833 Boulevard Street, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Dean Ridley |
|---|---|
| Address | 1833 Boulevard Street, Jacksonville, Florida |
| Phone Number | 9042322751 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1851361612 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2012-10-19 |
Provider Mailing Address Detail
| Address | 1833 Boulevard Street |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322064394 |
| Phone Number | 9042322751 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 31971 |
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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 James Dean Ridley's unique identification number?
The James Dean Ridley has been assigned the NPI (National Provider Identifier) Number 1851361612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of James Dean Ridley?
The James Dean Ridley is physically situated at 1833 Boulevard Street, in the city of Jacksonville, state of FL, with the postal code 322064394.
What is the James Dean Ridley's area of specialization and corresponding taxonomy classification?
The James Dean Ridley's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the James Dean Ridley receive its 1851361612?
The James Dean Ridley was issued its 1851361612 on 2006-01-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding James Dean Ridley most recently updated?
The details pertaining to the James Dean Ridley, including its address, specialty, and other relevant information, were last refreshed on 2012-10-19.
NPI Number: 1215930425
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