Michael David Fast is a Dentist in Jackson, Mississippi. Michael David Fast practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael David Fast is 1447304357. The last update date is 2023-03-07.
Michael David Fast's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6019846001 and fax number 6626517115. The mailing address for Michael David Fast is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Fast |
|---|---|
| Address | 2500 North State Street, Jackson, Mississippi |
| Phone Number | 6019846001 |
| Fax Number | 6626517115 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1447304357 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2500 North State Street |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6019846001 |
| Fax Number | 6626517115 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2269-86 |
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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 identifier code issued to Michael David Fast by the Centers for Medicare & Medicaid Services?
The Michael David Fast has been assigned the NPI (National Provider Identifier) 1447304357. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael David Fast's facilities are geographically located?
The facilities of Michael David Fast are physically situated at the following location: 2500 North State Street, Jackson, MS, 39216.
What is Michael David Fast's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael David Fast is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Michael David Fast receive the assignment of its 1447304357 from the Centers for Medicare & Medicaid Services?
The Michael David Fast was issued its 1447304357 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information regarding Michael David Fast most recently updated?
The details pertaining to the Michael David Fast, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
NPI Number: 1992783179
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