Jacklyn Tadros is a Dentist in New Lisbon, New Jersey. Jacklyn Tadros practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jacklyn Tadros is 1174663785. The last update date is 2007-07-08.
Jacklyn Tadros's current location address is 600 Pemberton-browns Mills Road, New Lisbon, New Jersey. You can contact this provider via phone number 6098941213 and fax number 6098941219. The mailing address for Jacklyn Tadros is 600 Pemberton-browns Mills Road, New Lisbon, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacklyn Tadros |
|---|---|
| Address | 600 Pemberton-browns Mills Road, New Lisbon, New Jersey |
| Phone Number | 6098941213 |
| Fax Number | 6098941219 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1174663785 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 Pemberton-browns Mills Road |
|---|---|
| City | New Lisbon |
| State | New Jersey (NJ) |
| Post Code | 8064 |
| Phone Number | 6098941213 |
| Fax Number | 6098941219 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22DI02324300 |
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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 10-digit identification code assigned to Jacklyn Tadros by the Centers for Medicare & Medicaid Services?
The Jacklyn Tadros has been issued the NPI (National Provider Identifier) 1174663785, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jacklyn Tadros is located?
The Jacklyn Tadros is situated at the following address: 600 Pemberton-Browns Mills Road, New Lisbon, NJ, 8064.
What is the area of specialization for Jacklyn Tadros, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jacklyn Tadros is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174663785 to Jacklyn Tadros?
The Centers for Medicare & Medicaid Services originally issued the 1174663785 to Jacklyn Tadros on 2007-02-06.
As of what date were the Jacklyn Tadros's details last updated?
The information pertaining to the Jacklyn Tadros, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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