Gary J Jacky is a Dentist in Edmonds, Washington. Gary J Jacky practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary J Jacky is 1154380210. The last update date is 2007-07-08.
Gary J Jacky's current location address is 7533 Olympic View Dr, Edmonds, Washington. You can contact this provider via phone number 4256702392 and fax number 4257768173. The mailing address for Gary J Jacky is 7533 Olympic View Dr, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary J Jacky |
|---|---|
| Address | 7533 Olympic View Dr, Edmonds, Washington |
| Phone Number | 4256702392 |
| Fax Number | 4257768173 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1154380210 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7533 Olympic View Dr |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980265524 |
| Phone Number | 4256702392 |
| Fax Number | 4257768173 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00005902 |
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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 Gary J Jacky by the Centers for Medicare & Medicaid Services?
The Gary J Jacky has been assigned the NPI (National Provider Identifier) 1154380210. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gary J Jacky is physically located?
The Gary J Jacky is situated at the following address: 7533 Olympic View Dr, Edmonds, WA 980265524.
What is the Gary J Jacky's area of specialization and corresponding taxonomy classification?
The Gary J Jacky's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1154380210 to Gary J Jacky?
The Gary J Jacky received its 1154380210 assignment from the Centers for Medicare & Medicaid Services on 2006-03-18.
When was the information pertaining to Gary J Jacky most recently updated or revised?
The details related to Gary J Jacky, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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