Mario Michael Jackson in North Las Vegas - Dentist
Mario Michael Jackson - NPI 1144302811
Mario Michael Jackson is a Dentist in North Las Vegas, Nevada. Mario Michael Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mario Michael Jackson is 1144302811. The last update date is 2007-07-08.
Mario Michael Jackson's current location address is 1013 Harp Way, North Las Vegas, Nevada. You can contact this provider via phone number 7025053914. The mailing address for Mario Michael Jackson is 1013 Harp Way, North Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Michael Jackson |
|---|---|
| Address | 1013 Harp Way, North Las Vegas, Nevada |
| Phone Number | 7025053914 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1144302811 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1013 Harp Way |
|---|---|
| City | North Las Vegas |
| State | Nevada (NV) |
| Post Code | 890327889 |
| Phone Number | 7025053914 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4594T |
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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 identifier code issued to Mario Michael Jackson by the Centers for Medicare & Medicaid Services?
The Mario Michael Jackson has been assigned the NPI (National Provider Identifier) 1144302811 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mario Michael Jackson is geographically located?
The Mario Michael Jackson is physically situated at the following location: 1013 Harp Way, North Las Vegas, NV, 890327889.
What is Mario Michael Jackson'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 Mario Michael Jackson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Mario Michael Jackson receive the assignment of its 1144302811 from the Centers for Medicare & Medicaid Services?
The Mario Michael Jackson was issued its 1144302811 by the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the Mario Michael Jackson's information last updated?
The Mario Michael Jackson's information was last updated on 2007-07-08.