Jack Gentry is a Dentist in Marietta, Georgia. Jack Gentry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Gentry is 1386853042. The last update date is 2007-07-08.
Jack Gentry's current location address is 644 Cherokee St Ne, Marietta, Georgia. You can contact this provider via phone number 7704246569. The mailing address for Jack Gentry is 644 Cherokee St Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Gentry |
|---|---|
| Address | 644 Cherokee St Ne, Marietta, Georgia |
| Phone Number | 7704246569 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1386853042 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 644 Cherokee St Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300608910 |
| Phone Number | 7704246569 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9929 |
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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 identifier code issued to Jack Gentry by the Centers for Medicare & Medicaid Services?
The Jack Gentry has been assigned the NPI (National Provider Identifier) 1386853042 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jack Gentry is physically located?
The Jack Gentry is situated at the following address: 644 Cherokee St Ne, Marietta, GA 300608910.
What is Jack Gentry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Gentry is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Jack Gentry's 1386853042 issued?
The Jack Gentry's 1386853042 was issued on 2007-05-21.
As of what date were the details related to Jack Gentry most recently updated or revised?
The information pertaining to Jack Gentry, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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