Jackie N. Wyland is a Dentist in East Freedom, Pennsylvania. Jackie N. Wyland practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jackie N. Wyland is 1841462462. The last update date is 2008-07-31.
Jackie N. Wyland's current location address is Rd 1 Box 147 A, East Freedom, Pennsylvania. You can contact this provider via phone number 8146951801 and fax number 8146957074. The mailing address for Jackie N. Wyland is Rd 1 Box 147 A, East Freedom, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jackie N. Wyland |
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Address | Rd 1 Box 147 A, East Freedom, Pennsylvania |
Phone Number | 8146951801 |
Fax Number | 8146957074 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Wyland Nelson Jackie |
Telephone Number | 8146951801 |
NPI Number Detail
NPI Number | 1841462462 |
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Provider Enumeration Date | 2008-03-25 |
Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
Address | Rd 1 Box 147 A |
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City | East Freedom |
State | Pennsylvania (PA) |
Post Code | 166379731 |
Phone Number | 8146951801 |
Fax Number | 8146957074 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DS021195L |
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 identifier code issued to Jackie N. Wyland by the Centers for Medicare & Medicaid Services?
The Jackie N. Wyland has been assigned the NPI (National Provider Identifier) 1841462462 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jackie N. Wyland is geographically located?
The Jackie N. Wyland is physically situated at the following location: Rd 1 Box 147 A, East Freedom, PA, 166379731.
What is Jackie N. Wyland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackie N. Wyland'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 1841462462 to Jackie N. Wyland?
The Centers for Medicare & Medicaid Services assigned the 1841462462 to Jackie N. Wyland on 2008-03-25.
As of what date was the information regarding Jackie N. Wyland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackie N. Wyland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-31.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC