Harry Keith Jackson in Scott Depot - General Practice
Harry Keith Jackson - NPI 1336234640
Harry Keith Jackson is a General Practice in Scott Depot, . Harry Keith Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Harry Keith Jackson is 1336234640. The last update date is 2019-08-02.
Harry Keith Jackson's current location address is 97 Great Teays Blvd Ste 6, Scott Depot, . You can contact this provider via phone number 3047204466 and fax number 3047204813. The mailing address for Harry Keith Jackson is 97 Great Teays Blvd Ste 6, Scott Depot, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harry Keith Jackson |
|---|---|
| Address | 97 Great Teays Blvd Ste 6, Scott Depot, |
| Phone Number | 3047204466 |
| Fax Number | 3047204813 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336234640 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2019-08-02 |
Provider Mailing Address Detail
| Address | 97 Great Teays Blvd Ste 6 |
|---|---|
| City | Scott Depot |
| State | (WV) |
| Post Code | 255609816 |
| Phone Number | 3047204466 |
| Fax Number | 3047204813 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2140 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336234640 | WV | -- | |
| 135354000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Harry Keith Jackson by the Centers for Medicare & Medicaid Services?
The Harry Keith Jackson has been assigned the NPI (National Provider Identifier) 1336234640. 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 physical address where Harry Keith Jackson is located?
The Harry Keith Jackson is situated at the following address: 97 Great Teays Blvd Ste 6, Scott Depot, WV, 255609816.
What is Harry Keith Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Harry Keith Jackson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did the Harry Keith Jackson receive its 1336234640?
The Harry Keith Jackson was issued its 1336234640 on 2006-10-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Harry Keith Jackson last refreshed?
The information related to the Harry Keith Jackson, including its address, specialty, and other relevant details, was last updated on 2019-08-02.
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