Charles Forrest Jackson in Erie - Dentist
Charles Forrest Jackson - NPI 1770545063
Charles Forrest Jackson is a Dentist in Erie, Pennsylvania. Charles Forrest Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Forrest Jackson is 1770545063. The last update date is 2007-07-08.
Charles Forrest Jackson's current location address is 702 W 34th St, Erie, Pennsylvania. You can contact this provider via phone number 8148685411 and fax number 8148662105. The mailing address for Charles Forrest Jackson is 702 W 34th St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Forrest Jackson |
|---|---|
| Address | 702 W 34th St, Erie, Pennsylvania |
| Phone Number | 8148685411 |
| Fax Number | 8148662105 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1770545063 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 702 W 34th St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 16508 |
| Phone Number | 8148685411 |
| Fax Number | 8148662105 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS019797L |
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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 identification code assigned to Charles Forrest Jackson by the Centers for Medicare & Medicaid Services?
The Charles Forrest Jackson has been issued the NPI (National Provider Identifier) 1770545063. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles Forrest Jackson is physically located?
The Charles Forrest Jackson is physically situated at the following address: 702 W 34Th St, Erie, PA, 16508.
What is Charles Forrest Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Forrest Jackson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Charles Forrest Jackson's 1770545063 issued?
The Charles Forrest Jackson's 1770545063 was issued on 2006-04-04.
When was the information related to Charles Forrest Jackson most recently updated or refreshed?
The details pertaining to the Charles Forrest Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY