Jefrey Russell Jaicks in Johnstown - Dentist
Jefrey Russell Jaicks - NPI 1982805180
Jefrey Russell Jaicks is a Dentist in Johnstown, Ohio. Jefrey Russell Jaicks practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jefrey Russell Jaicks is 1982805180. The last update date is 2007-07-08.
Jefrey Russell Jaicks's current location address is 171 W Coshocton St, Johnstown, Ohio. You can contact this provider via phone number 7409671444 and fax number 7409672610. The mailing address for Jefrey Russell Jaicks is 171 W Coshocton St, Johnstown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jefrey Russell Jaicks |
|---|---|
| Address | 171 W Coshocton St, Johnstown, Ohio |
| Phone Number | 7409671444 |
| Fax Number | 7409672610 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1982805180 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 171 W Coshocton St |
|---|---|
| City | Johnstown |
| State | Ohio (OH) |
| Post Code | 430311108 |
| Phone Number | 7409671444 |
| Fax Number | 7409672610 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21277 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1548323389 | OH | TYPE II |
Post Comment/ Review Below
What is the Jefrey Russell Jaicks's unique identification number?
The Jefrey Russell Jaicks has been assigned the NPI (National Provider Identifier) Number 1982805180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jefrey Russell Jaicks?
The Jefrey Russell Jaicks is situated at 171 W Coshocton St, in the city of Johnstown, state of OH, with the zip code 430311108.
What is Jefrey Russell Jaicks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jefrey Russell Jaicks's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Jefrey Russell Jaicks receive its 1982805180 assignment from the Centers for Medicare & Medicaid Services?
The Jefrey Russell Jaicks was assigned its 1982805180 on 2007-05-29, 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 details related to Jefrey Russell Jaicks most recently updated or revised?
The information pertaining to Jefrey Russell Jaicks, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.