Brian Clark Jackson in Henderson - Dentist
Brian Clark Jackson - NPI 1336308683
Brian Clark Jackson is a Dentist in Henderson, Texas. Brian Clark Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian Clark Jackson is 1336308683. The last update date is 2008-06-03.
Brian Clark Jackson's current location address is 1910 State Highway 43 E, Henderson, Texas. You can contact this provider via phone number 9036573139 and fax number 9036550699. The mailing address for Brian Clark Jackson is 1910 State Highway 43 E, Henderson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Clark Jackson |
|---|---|
| Address | 1910 State Highway 43 E, Henderson, Texas |
| Phone Number | 9036573139 |
| Fax Number | 9036550699 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336308683 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 1910 State Highway 43 E |
|---|---|
| City | Henderson |
| State | Texas (TX) |
| Post Code | 756529106 |
| Phone Number | 9036573139 |
| Fax Number | 9036550699 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 23922 |
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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 assigned to Brian Clark Jackson by the Centers for Medicare & Medicaid Services?
The Brian Clark Jackson has been issued the NPI (National Provider Identifier) 1336308683, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brian Clark Jackson is geographically located?
The Brian Clark Jackson is physically situated at the following location: 1910 State Highway 43 E, Henderson, TX, 756529106.
What is the Brian Clark Jackson's specialty and taxonomy code?
The Brian Clark Jackson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Brian Clark Jackson's 1336308683 issued?
The Brian Clark Jackson's 1336308683 was issued on 2008-06-03.
As of what date were the details related to Brian Clark Jackson most recently updated or revised?
The information pertaining to Brian Clark Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-03.
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