Ernest W Jackson in Jefferson City - Dental Public Health
Ernest W Jackson - NPI 1124113246
Ernest W Jackson is a Dental Public Health in Jefferson City, Missouri. Ernest W Jackson practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Ernest W Jackson is 1124113246. The last update date is 2007-07-08.
Ernest W Jackson's current location address is 3702 W Truman Blvd Ste 100, Jefferson City, Missouri. You can contact this provider via phone number 5736355315 and fax number 5736355512. The mailing address for Ernest W Jackson is 3702 W Truman Blvd Ste 100, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest W Jackson |
|---|---|
| Address | 3702 W Truman Blvd Ste 100, Jefferson City, Missouri |
| Phone Number | 5736355315 |
| Fax Number | 5736355512 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124113246 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3702 W Truman Blvd Ste 100 |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651094970 |
| Phone Number | 5736355315 |
| Fax Number | 5736355512 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Public Health |
|---|---|
| Taxonomy | 1223D0001X |
| Licence No | 14969 |
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Definition: The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406024208 | MO | -- |
Post Comment/ Review Below
What is the Ernest W Jackson's unique identification number?
The Ernest W Jackson has been assigned the NPI (National Provider Identifier) Number 1124113246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Ernest W Jackson located?
The Ernest W Jackson is located at 3702 W Truman Blvd Ste 100, Jefferson City, MO 651094970.
What is Ernest W Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ernest W Jackson's area of specialization is Dental Public Health, and the corresponding taxonomy code that categorizes this field of practice is 1223D0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124113246 to Ernest W Jackson?
The Centers for Medicare & Medicaid Services assigned the 1124113246 to Ernest W Jackson on 2006-10-04.
As of what date was the information regarding Ernest W Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ernest W Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY