Charles Russell Jackson in Morgantown - Endodontics
Charles Russell Jackson - NPI 1306929856
Charles Russell Jackson is a Endodontics in Morgantown, . Charles Russell Jackson practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Charles Russell Jackson is 1306929856. The last update date is 2007-07-08.
Charles Russell Jackson's current location address is 1 Med Center Dirve, Morgantown, . You can contact this provider via phone number 3042932240. The mailing address for Charles Russell Jackson is 1 Med Center Dirve, Morgantown, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Russell Jackson |
|---|---|
| Address | 1 Med Center Dirve, Morgantown, |
| Phone Number | 3042932240 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306929856 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Med Center Dirve |
|---|---|
| City | Morgantown |
| State | (WV) |
| Post Code | 26506 |
| Phone Number | 3042932240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 2122 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the Charles Russell Jackson's unique identification number?
The Charles Russell Jackson has been assigned the NPI (National Provider Identifier) Number 1306929856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Charles Russell Jackson?
The Charles Russell Jackson is physically situated at 1 Med Center Dirve, in the city of Morgantown, state of WV, with the postal code 26506.
What is the area of specialization for Charles Russell Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Russell Jackson is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
When was the Charles Russell Jackson's 1306929856 issued?
The Charles Russell Jackson's 1306929856 was issued on 2006-10-20.
As of what date were the details related to Charles Russell Jackson most recently updated or revised?
The information pertaining to Charles Russell Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.