Jackson A Bean is a Dentist in Greenville, Texas. Jackson A Bean practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jackson A Bean is 1861610545. The last update date is 2013-03-11.
Jackson A Bean's current location address is 2704 Aileen Blvd, Greenville, Texas. You can contact this provider via phone number 9034546661 and fax number 9034546661. The mailing address for Jackson A Bean is 2704 Aileen Blvd, Greenville, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jackson A Bean |
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Address | 2704 Aileen Blvd, Greenville, Texas |
Phone Number | 9034546661 |
Fax Number | 9034546661 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1861610545 |
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Provider Enumeration Date | 2007-04-20 |
Last Updated Date | 2013-03-11 |
Provider Mailing Address Detail
Address | 2704 Aileen Blvd |
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City | Greenville |
State | Texas (TX) |
Post Code | 754026486 |
Phone Number | 9034546661 |
Fax Number | 9034546661 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 21382 |
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 provider identifier assigned to Jackson A Bean?
The Jackson A Bean has been issued the NPI (National Provider Identifier) 1861610545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jackson A Bean?
The Jackson A Bean is physically situated at 2704 Aileen Blvd, in the city of Greenville, state of TX, with the postal code 754026486.
What is the Jackson A Bean's area of specialization and corresponding taxonomy classification?
The Jackson A Bean's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Jackson A Bean receive its 1861610545 assignment?
The Jackson A Bean was assigned its 1861610545 on 2007-04-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jackson A Bean most recently updated?
The details pertaining to the Jackson A Bean, including its address, specialty, and other relevant information, were last refreshed on 2013-03-11.