Lloyd Brent Jackson in Farmington - Dentist
Lloyd Brent Jackson - NPI 1487785911
Lloyd Brent Jackson is a Dentist in Farmington, New Mexico. Lloyd Brent Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lloyd Brent Jackson is 1487785911. The last update date is 2007-07-08.
Lloyd Brent Jackson's current location address is 2700 Farmington Ave, Farmington, New Mexico. You can contact this provider via phone number 5053270044 and fax number 5053250817. The mailing address for Lloyd Brent Jackson is 2700 Farmington Ave, Farmington, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lloyd Brent Jackson |
|---|---|
| Address | 2700 Farmington Ave, Farmington, New Mexico |
| Phone Number | 5053270044 |
| Fax Number | 5053250817 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1487785911 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2700 Farmington Ave |
|---|---|
| City | Farmington |
| State | New Mexico (NM) |
| Post Code | 874014559 |
| Phone Number | 5053270044 |
| Fax Number | 5053250817 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD2248 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Lloyd Brent Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Lloyd Brent Jackson has been assigned the NPI (National Provider Identifier) 1487785911. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Lloyd Brent Jackson's physical address?
The Lloyd Brent Jackson is physically located at 2700 Farmington Ave, in the city of Farmington, NM, with the postal code 874014559.
What is the Lloyd Brent Jackson's specialty and taxonomy code?
The Lloyd Brent Jackson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Lloyd Brent Jackson receive the assignment of its 1487785911 from the Centers for Medicare & Medicaid Services?
The Lloyd Brent Jackson was issued its 1487785911 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date was the information pertaining to Lloyd Brent Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lloyd Brent Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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