Richard Glenn Jacques in Greenville - Dentist
Richard Glenn Jacques - NPI 1164566105
Richard Glenn Jacques is a Dentist in Greenville, South Carolina. Richard Glenn Jacques practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Glenn Jacques is 1164566105. The last update date is 2016-02-15.
Richard Glenn Jacques's current location address is 16 Mills Ave, Greenville, South Carolina. You can contact this provider via phone number 8642424848. The mailing address for Richard Glenn Jacques is 16 Mills Ave, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Glenn Jacques |
|---|---|
| Address | 16 Mills Ave, Greenville, South Carolina |
| Phone Number | 8642424848 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164566105 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2016-02-15 |
Provider Mailing Address Detail
| Address | 16 Mills Ave |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296054065 |
| Phone Number | 8642424848 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2333 |
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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 10-digit identification code issued to Richard Glenn Jacques by the Centers for Medicare & Medicaid Services?
The Richard Glenn Jacques has been assigned the NPI (National Provider Identifier) 1164566105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Richard Glenn Jacques is physically located?
The Richard Glenn Jacques is physically situated at the following address: 16 Mills Ave, Greenville, SC, 296054065.
What is Richard Glenn Jacques's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard Glenn Jacques is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Richard Glenn Jacques receive the assignment of its 1164566105 from the Centers for Medicare & Medicaid Services?
The Richard Glenn Jacques was issued its 1164566105 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date were the details related to Richard Glenn Jacques most recently updated or revised?
The information pertaining to Richard Glenn Jacques, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-15.
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