Brian R Jakusz is a Dentist in Colgate, Wisconsin. Brian R Jakusz practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian R Jakusz is 1619042686. The last update date is 2011-04-29.
Brian R Jakusz's current location address is N95w25901 Cty Hwy Q, Colgate, Wisconsin. You can contact this provider via phone number 2626280555. The mailing address for Brian R Jakusz is N95w25901 Cty Hwy Q, Colgate, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian R Jakusz |
|---|---|
| Address | N95w25901 Cty Hwy Q, Colgate, Wisconsin |
| Phone Number | 2626280555 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619042686 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2011-04-29 |
Provider Mailing Address Detail
| Address | N95w25901 Cty Hwy Q |
|---|---|
| City | Colgate |
| State | Wisconsin (WI) |
| Post Code | 530179225 |
| Phone Number | 2626280555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5492015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33793900 | WI | -- |
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What is the unique 10-digit identifier code assigned to Brian R Jakusz by the Centers for Medicare & Medicaid Services?
The Brian R Jakusz has been issued the NPI (National Provider Identifier) 1619042686 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brian R Jakusz's facilities are geographically located?
The facilities of Brian R Jakusz are physically situated at the following location: N95W25901 Cty Hwy Q, Colgate, WI, 530179225.
What is Brian R Jakusz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brian R Jakusz is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When was the Brian R Jakusz's 1619042686 issued?
The Brian R Jakusz's 1619042686 was issued on 2006-11-22.
As of what date were the details related to Brian R Jakusz most recently updated or revised?
The information pertaining to Brian R Jakusz, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-29.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT