Keven Peter Jackson in Cambria Heights - Dentist
Keven Peter Jackson - NPI 1932294006
Keven Peter Jackson is a Dentist in Cambria Heights, New York. Keven Peter Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keven Peter Jackson is 1932294006. The last update date is 2007-07-08.
Keven Peter Jackson's current location address is 22516 Linden Blvd, Cambria Heights, New York. You can contact this provider via phone number 7189780226 and fax number 7189770281. The mailing address for Keven Peter Jackson is 22516 Linden Blvd, Cambria Heights, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keven Peter Jackson |
|---|---|
| Address | 22516 Linden Blvd, Cambria Heights, New York |
| Phone Number | 7189780226 |
| Fax Number | 7189770281 |
| Sole Proprietor | N |
| Credentials | DDS PC |
NPI Number Detail
| NPI Number | 1932294006 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 22516 Linden Blvd |
|---|---|
| City | Cambria Heights |
| State | New York (NY) |
| Post Code | 11411 |
| Phone Number | 7189780226 |
| Fax Number | 7189770281 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40675 |
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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 identifier code issued to Keven Peter Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Keven Peter Jackson has been assigned the NPI (National Provider Identifier) 1932294006. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Keven Peter Jackson's physical address?
The Keven Peter Jackson is physically located at 22516 Linden Blvd, in the city of Cambria Heights, NY, with the postal code 11411.
What is Keven Peter Jackson'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 Keven Peter Jackson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1932294006 assigned to Keven Peter Jackson?
The Keven Peter Jackson was issued its 1932294006 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Keven Peter Jackson's information last updated?
The Keven Peter Jackson's information was last updated on 2007-07-08.