Juniper Health Inc is a Dentist in Jackson, Kentucky. Juniper Health Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Juniper Health Inc is 1467417691. The last update date is 2020-07-14.
Juniper Health Inc's current location address is 1484 Lakeside Drive, Jackson, Kentucky. You can contact this provider via phone number 6066669950 and fax number 6066669136. The mailing address for Juniper Health Inc is 1484 Lakeside Drive, Jackson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Juniper Health Inc |
|---|---|
| Address | 1484 Lakeside Drive, Jackson, Kentucky |
| Phone Number | 6066669950 |
| Fax Number | 6066669136 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hamilton J Derrick |
| Credentials | DO |
| Telephone Number | 6066669950 |
NPI Number Detail
| NPI Number | 1467417691 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2020-07-14 |
Provider Mailing Address Detail
| Address | 1484 Lakeside Drive |
|---|---|
| City | Jackson |
| State | Kentucky (KY) |
| Post Code | 413397370 |
| Phone Number | 6066669950 |
| Fax Number | 6066669136 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181853 | KY | MEDICARE FQHC PTAN | |
| 31000854 | KY | -- | |
| 9521 | KY | MEDICARE PART B |
Post Comment/ Review Below
What is the unique provider identifier assigned to Juniper Health Inc?
The Juniper Health Inc has been issued the NPI (National Provider Identifier) 1467417691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Juniper Health Inc is physically located?
The Juniper Health Inc is situated at the following address: 1484 Lakeside Drive, Jackson, KY 413397370.
What is the area of specialization for Juniper Health Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Juniper Health Inc is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Juniper Health Inc receive its 1467417691 assignment?
The Juniper Health Inc was assigned its 1467417691 on 2006-04-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Juniper Health Inc most recently updated or revised?
The information pertaining to Juniper Health Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-14.
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