Advance Dental Clinic in Jackson - Dentist
Advance Dental Clinic - NPI 1073708913
Advance Dental Clinic is a Dentist in Jackson, Mississippi. Advance Dental Clinic practices all healthcare services and medical treatments related to Dentist. The NPI Number for Advance Dental Clinic is 1073708913. The last update date is 2007-09-13.
Advance Dental Clinic's current location address is 1555 E County Line Rd, Jackson, Mississippi. You can contact this provider via phone number 6012061112 and fax number 6012061114. The mailing address for Advance Dental Clinic is 1555 E County Line Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Advance Dental Clinic |
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Address | 1555 E County Line Rd, Jackson, Mississippi |
Phone Number | 6012061112 |
Fax Number | 6012061114 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/MANA |
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Authorized Official Name | Toombs V. Denessa |
Credentials | D.M.D. |
Telephone Number | 6012061112 |
NPI Number Detail
NPI Number | 1073708913 |
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Provider Enumeration Date | 2007-09-13 |
Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
Address | 1555 E County Line Rd |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392111801 |
Phone Number | 6012061112 |
Fax Number | 6012061114 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 3314-04 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2674220 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Advance Dental Clinic by the Centers for Medicare & Medicaid Services?
The Advance Dental Clinic has been issued the NPI (National Provider Identifier) 1073708913. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Advance Dental Clinic's physical address?
The Advance Dental Clinic is physically located at 1555 E County Line Rd, in the city of Jackson, MS, with the postal code 392111801.
What is Advance Dental Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Advance Dental Clinic is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Advance Dental Clinic receive its 1073708913?
The Advance Dental Clinic was issued its 1073708913 on 2007-09-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Advance Dental Clinic's details last updated?
The information pertaining to the Advance Dental Clinic, including its address, specialty, and other details, was most recently updated on 2007-09-13.