Dockins Denatll, Llc in Jackson - Dentist

Dockins Denatll, Llc - NPI 1023281300

Dockins Denatll, Llc is a Dentist in Jackson, Mississippi. Dockins Denatll, Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dockins Denatll, Llc is 1023281300. The last update date is 2008-04-08.

Dockins Denatll, Llc's current location address is 500i E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6019820048 and fax number 6019820388. The mailing address for Dockins Denatll, Llc is 500i E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dockins Denatll, Llc
Address 500i E Woodrow Wilson Ave, Jackson, Mississippi
Phone Number 6019820048
Fax Number 6019820388
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Dockins T Jo Andrea
Credentials D.D.S.
Telephone Number 6019820048

NPI Number Detail

NPI Number 1023281300
Provider Enumeration Date 2008-04-08
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 500i E Woodrow Wilson Ave
City Jackson
State Mississippi (MS)
Post Code 392164538
Phone Number 6019820048
Fax Number 6019820388

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2819-94
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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FAQs about Dockins Denatll, Llc

What is the unique 10-digit identification code assigned to Dockins Denatll, Llc by the Centers for Medicare & Medicaid Services?

The Dockins Denatll, Llc has been issued the NPI (National Provider Identifier) 1023281300, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Dockins Denatll, Llc located?

The Dockins Denatll, Llc is located at 500I E Woodrow Wilson Ave, Jackson, MS 392164538.

What is the Dockins Denatll, Llc's area of specialization and corresponding taxonomy classification?

The Dockins Denatll, Llc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When was the Dockins Denatll, Llc's 1023281300 issued?

The Dockins Denatll, Llc's 1023281300 was issued on 2008-04-08.

As of what date were the details related to Dockins Denatll, Llc most recently updated or revised?

The information pertaining to Dockins Denatll, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-08.

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