Robert Kennedy Revere in Jackson - Dentist
Robert Kennedy Revere - NPI 1699829077
Robert Kennedy Revere is a Dentist in Jackson, Mississippi. Robert Kennedy Revere practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Kennedy Revere is 1699829077. The last update date is 2007-07-08.
Robert Kennedy Revere's current location address is 6 Lakeland Circle, Jackson, Mississippi. You can contact this provider via phone number 6013666177. The mailing address for Robert Kennedy Revere is 6 Lakeland Circle, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Kennedy Revere |
|---|---|
| Address | 6 Lakeland Circle, Jackson, Mississippi |
| Phone Number | 6013666177 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1699829077 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6 Lakeland Circle |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6013666177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 168075 |
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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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What is the Robert Kennedy Revere's 1699829077?
The Robert Kennedy Revere's NPI (National Provider Identifier) Number is 1699829077. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert Kennedy Revere located?
The Robert Kennedy Revere is located at 6 Lakeland Circle, Jackson, MS 39216.
What is Robert Kennedy Revere's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Kennedy Revere is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Robert Kennedy Revere receive its 1699829077 assignment from the Centers for Medicare & Medicaid Services?
The Robert Kennedy Revere was assigned its 1699829077 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Robert Kennedy Revere's details last updated?
The information pertaining to the Robert Kennedy Revere, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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