Gerald Clive Vincent in Jackson - Dentist
Gerald Clive Vincent - NPI 1477758548
Gerald Clive Vincent is a Dentist in Jackson, Mississippi. Gerald Clive Vincent practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gerald Clive Vincent is 1477758548. The last update date is 2007-07-08.
Gerald Clive Vincent's current location address is 5442 Watkins Dr, Jackson, Mississippi. You can contact this provider via phone number 6013666522 and fax number 6013660411. The mailing address for Gerald Clive Vincent is 5442 Watkins Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Clive Vincent |
|---|---|
| Address | 5442 Watkins Dr, Jackson, Mississippi |
| Phone Number | 6013666522 |
| Fax Number | 6013660411 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477758548 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5442 Watkins Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39206 |
| Phone Number | 6013666522 |
| Fax Number | 6013660411 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 296696 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 660160 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gerald Clive Vincent by the Centers for Medicare & Medicaid Services?
The Gerald Clive Vincent has been assigned the NPI (National Provider Identifier) 1477758548 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gerald Clive Vincent is located?
The Gerald Clive Vincent is situated at the following address: 5442 Watkins Dr, Jackson, MS, 39206.
What is the area of specialization for Gerald Clive Vincent, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gerald Clive Vincent is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When was the Gerald Clive Vincent's 1477758548 issued?
The Gerald Clive Vincent's 1477758548 was issued on 2007-06-19.
As of what date were the details related to Gerald Clive Vincent most recently updated or revised?
The information pertaining to Gerald Clive Vincent, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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