Allen Max Metcalf is a Dentist in Jackson, Mississippi. Allen Max Metcalf practices all healthcare services and medical treatments related to Dentist. The NPI Number for Allen Max Metcalf is 1548461809. The last update date is 2007-07-08.
Allen Max Metcalf's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019846185 and fax number 6019846187. The mailing address for Allen Max Metcalf is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen Max Metcalf |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019846185 |
| Fax Number | 6019846187 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1548461809 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846185 |
| Fax Number | 6019846187 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2497-89 |
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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 |
|---|---|---|---|
| 66342 | MS | -- |
Post Comment/ Review Below
What is the Allen Max Metcalf's 1548461809?
The Allen Max Metcalf's NPI (National Provider Identifier) Number is 1548461809. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Allen Max Metcalf's physical address?
The Allen Max Metcalf is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is Allen Max Metcalf's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Allen Max Metcalf is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Allen Max Metcalf receive its 1548461809 assignment from the Centers for Medicare & Medicaid Services?
The Allen Max Metcalf was assigned its 1548461809 by the Centers for Medicare & Medicaid Services on 2007-05-31.
As of what date were the details related to Allen Max Metcalf most recently updated or revised?
The information pertaining to Allen Max Metcalf, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC