Pamela Jackson is a Dentist in Saint Louis, Missouri. Pamela Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pamela Jackson is 1225147317. The last update date is 2007-07-08.
Pamela Jackson's current location address is 3721 Jennings Station Rd, Saint Louis, Missouri. You can contact this provider via phone number 3143822000 and fax number 3143822411. The mailing address for Pamela Jackson is 3721 Jennings Station Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Jackson |
|---|---|
| Address | 3721 Jennings Station Rd, Saint Louis, Missouri |
| Phone Number | 3143822000 |
| Fax Number | 3143822411 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225147317 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3721 Jennings Station Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631213505 |
| Phone Number | 3143822000 |
| Fax Number | 3143822411 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14330 |
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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 unique identification code assigned to Pamela Jackson by the Centers for Medicare & Medicaid Services?
The Pamela Jackson has been issued the NPI (National Provider Identifier) 1225147317. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pamela Jackson located?
The Pamela Jackson is located at 3721 Jennings Station Rd, Saint Louis, MO 631213505.
What is Pamela Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pamela Jackson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225147317 to Pamela Jackson?
The Centers for Medicare & Medicaid Services assigned the 1225147317 to Pamela Jackson on 2006-08-30.
When was the Pamela Jackson's information last updated?
The Pamela Jackson's information was last updated on 2007-07-08.