Jillian Kimberly Medure in Jacksonville - Dentist
Jillian Kimberly Medure - NPI 1164629416
Jillian Kimberly Medure is a Dentist in Jacksonville, Florida. Jillian Kimberly Medure practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jillian Kimberly Medure is 1164629416. The last update date is 2014-05-06.
Jillian Kimberly Medure's current location address is 3630 Saint Johns Ave, Jacksonville, Florida. You can contact this provider via phone number 9043870501 and fax number 9043873505. The mailing address for Jillian Kimberly Medure is 3630 Saint Johns Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jillian Kimberly Medure |
|---|---|
| Address | 3630 Saint Johns Ave, Jacksonville, Florida |
| Phone Number | 9043870501 |
| Fax Number | 9043873505 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1164629416 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | 3630 Saint Johns Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322059065 |
| Phone Number | 9043870501 |
| Fax Number | 9043873505 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 52197 |
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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 Jillian Kimberly Medure by the Centers for Medicare & Medicaid Services (CMS)?
The Jillian Kimberly Medure has been assigned the NPI (National Provider Identifier) 1164629416. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jillian Kimberly Medure's physical address?
The Jillian Kimberly Medure is physically located at 3630 Saint Johns Ave, in the city of Jacksonville, FL, with the postal code 322059065.
What is the Jillian Kimberly Medure's specialty and taxonomy code?
The Jillian Kimberly Medure's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Jillian Kimberly Medure receive its 1164629416 assignment?
The Jillian Kimberly Medure was assigned its 1164629416 on 2007-06-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jillian Kimberly Medure, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jillian Kimberly Medure, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-05-06.
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