Jack D Depner is a Dentist in Mckees Rocks, Pennsylvania. Jack D Depner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack D Depner is 1316986979. The last update date is 2007-07-08.
Jack D Depner's current location address is 710 Thompson Avenue, Mckees Rocks, Pennsylvania. You can contact this provider via phone number 4127716462 and fax number 4127715887. The mailing address for Jack D Depner is 710 Thompson Avenue, Mckees Rocks, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D Depner |
|---|---|
| Address | 710 Thompson Avenue, Mckees Rocks, Pennsylvania |
| Phone Number | 4127716462 |
| Fax Number | 4127715887 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1316986979 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 710 Thompson Avenue |
|---|---|
| City | Mckees Rocks |
| State | Pennsylvania (PA) |
| Post Code | 15136 |
| Phone Number | 4127716462 |
| Fax Number | 4127715887 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS024335L |
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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 |
|---|---|---|---|
| 9781380002 | PA | -- |
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What is the unique 10-digit identifier code issued to Jack D Depner by the Centers for Medicare & Medicaid Services?
The Jack D Depner has been assigned the NPI (National Provider Identifier) 1316986979 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jack D Depner?
The Jack D Depner is physically situated at 710 Thompson Avenue, in the city of Mckees Rocks, state of PA, with the postal code 15136.
What is the Jack D Depner's specialty and taxonomy code?
The Jack D Depner's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Jack D Depner's 1316986979 issued?
The Jack D Depner's 1316986979 was issued on 2006-06-06.
As of what date were the Jack D Depner's details last updated?
The information pertaining to the Jack D Depner, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY