Carol D Jackson is a Dentist in Glen Burnie, Maryland. Carol D Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carol D Jackson is 1649496910. The last update date is 2012-09-19.
Carol D Jackson's current location address is 208 Crain Highway, Southwest, Glen Burnie, Maryland. You can contact this provider via phone number 3104980002. The mailing address for Carol D Jackson is 208 Crain Highway, Southwest, Glen Burnie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol D Jackson |
|---|---|
| Address | 208 Crain Highway, Southwest, Glen Burnie, Maryland |
| Phone Number | 3104980002 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1649496910 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2012-09-19 |
Provider Mailing Address Detail
| Address | 208 Crain Highway, Southwest |
|---|---|
| City | Glen Burnie |
| State | Maryland (MD) |
| Post Code | 21061 |
| Phone Number | 3104980002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14764 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol D Jackson by the Centers for Medicare & Medicaid Services?
The Carol D Jackson has been issued the NPI (National Provider Identifier) 1649496910, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carol D Jackson?
The Carol D Jackson is physically situated at 208 Crain Highway, Southwest, in the city of Glen Burnie, state of MD, with the postal code 21061.
What is the Carol D Jackson's area of specialization and corresponding taxonomy classification?
The Carol D Jackson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1649496910 assigned to Carol D Jackson?
The Carol D Jackson was issued its 1649496910 on 2007-04-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Carol D Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carol D Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-19.
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