Terry L Jackson in Watertown - Dentist

Terry L Jackson - NPI 1588736771

Terry L Jackson is a Dentist in Watertown, Tennessee. Terry L Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Terry L Jackson is 1588736771. The last update date is 2007-07-08.

Terry L Jackson's current location address is 121 West Main Street, Watertown, Tennessee. You can contact this provider via phone number 6152373631 and fax number 6152379906. The mailing address for Terry L Jackson is 121 West Main Street, Watertown, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry L Jackson
Address 121 West Main Street, Watertown, Tennessee
Phone Number 6152373631
Fax Number 6152379906
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1588736771
Provider Enumeration Date 2006-11-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 121 West Main Street
City Watertown
State Tennessee (TN)
Post Code 37184
Phone Number 6152373631
Fax Number 6152379906

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4316
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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FAQs about Terry L Jackson

What is the unique 10-digit identifier code assigned to Terry L Jackson by the Centers for Medicare & Medicaid Services?

The Terry L Jackson has been issued the NPI (National Provider Identifier) 1588736771 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Terry L Jackson is physically located?

The Terry L Jackson is situated at the following address: 121 West Main Street, Watertown, TN 37184.

What is the Terry L Jackson's specialty and taxonomy code?

The Terry L Jackson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date was the 1588736771 assigned to Terry L Jackson?

The Terry L Jackson was issued its 1588736771 on 2006-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Terry L Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Terry L Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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