Jason Lynn Pendley in Owensboro - Dentist
Jason Lynn Pendley - NPI 1154586758
Jason Lynn Pendley is a Dentist in Owensboro, Kentucky. Jason Lynn Pendley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jason Lynn Pendley is 1154586758. The last update date is 2011-04-21.
Jason Lynn Pendley's current location address is 4921 Goetz Ln, Owensboro, Kentucky. You can contact this provider via phone number 2709260190 and fax number 2709267596. The mailing address for Jason Lynn Pendley is 4921 Goetz Ln, Owensboro, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Lynn Pendley |
|---|---|
| Address | 4921 Goetz Ln, Owensboro, Kentucky |
| Phone Number | 2709260190 |
| Fax Number | 2709267596 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1154586758 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2011-04-21 |
Provider Mailing Address Detail
| Address | 4921 Goetz Ln |
|---|---|
| City | Owensboro |
| State | Kentucky (KY) |
| Post Code | 423019663 |
| Phone Number | 2709260190 |
| Fax Number | 2709267596 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8635 |
|
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 |
|---|---|---|---|
| 8635 | KY | DENTAL INSURANCE |
Post Comment/ Review Below
What is the unique identification code assigned to Jason Lynn Pendley by the Centers for Medicare & Medicaid Services?
The Jason Lynn Pendley has been issued the NPI (National Provider Identifier) 1154586758. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jason Lynn Pendley's facilities are situated?
The facilities of Jason Lynn Pendley are physically located at the following address: 4921 Goetz Ln, Owensboro, KY, 423019663.
What is Jason Lynn Pendley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Lynn Pendley's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1154586758 assigned to Jason Lynn Pendley?
The Jason Lynn Pendley was issued its 1154586758 on 2008-07-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jason Lynn Pendley most recently updated?
The details pertaining to the Jason Lynn Pendley, including its address, specialty, and other relevant information, were last refreshed on 2011-04-21.
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