Jack Lloyd Kilgore is a Dentist in Columbia, South Carolina. Jack Lloyd Kilgore practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Lloyd Kilgore is 1295719201. The last update date is 2007-07-08.
Jack Lloyd Kilgore's current location address is 41 Beaver Dam Ct, Columbia, South Carolina. You can contact this provider via phone number 8036999697 and fax number 8037365358. The mailing address for Jack Lloyd Kilgore is 41 Beaver Dam Ct, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lloyd Kilgore |
|---|---|
| Address | 41 Beaver Dam Ct, Columbia, South Carolina |
| Phone Number | 8036999697 |
| Fax Number | 8037365358 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1295719201 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 41 Beaver Dam Ct |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292233122 |
| Phone Number | 8036999697 |
| Fax Number | 8037365358 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2662 |
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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 Jack Lloyd Kilgore by the Centers for Medicare & Medicaid Services?
The Jack Lloyd Kilgore has been issued the NPI (National Provider Identifier) 1295719201. 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 physical location address of Jack Lloyd Kilgore?
The Jack Lloyd Kilgore is physically situated at 41 Beaver Dam Ct, in the city of Columbia, state of SC, with the postal code 292233122.
What is Jack Lloyd Kilgore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Lloyd Kilgore is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295719201 to Jack Lloyd Kilgore?
The Centers for Medicare & Medicaid Services originally issued the 1295719201 to Jack Lloyd Kilgore on 2005-12-02.
When was the Jack Lloyd Kilgore's information last updated?
The Jack Lloyd Kilgore's information was last updated on 2007-07-08.
NPI Number: 1063415297
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