Eddie C. Jackson in Troy - General Practice
Eddie C. Jackson - NPI 1073625687
Eddie C. Jackson is a General Practice in Troy, Alabama. Eddie C. Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eddie C. Jackson is 1073625687. The last update date is 2012-06-19.
Eddie C. Jackson's current location address is Po Box 928, Troy, Alabama. You can contact this provider via phone number 3345667600 and fax number 3345669181. The mailing address for Eddie C. Jackson is Po Box 928, Troy, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Eddie C. Jackson |
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Address | Po Box 928, Troy, Alabama |
Phone Number | 3345667600 |
Fax Number | 3345669181 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1073625687 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
Address | Po Box 928 |
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City | Troy |
State | Alabama (AL) |
Post Code | 360810928 |
Phone Number | 3345667600 |
Fax Number | 3345669181 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 5377 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
136342 | AL | -- |
Post Comment/ Review Below
What is the Eddie C. Jackson's 1073625687?
The Eddie C. Jackson's NPI (National Provider Identifier) Number is 1073625687. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Eddie C. Jackson is physically located?
The Eddie C. Jackson is physically situated at the following address: Po Box 928, Troy, AL, 360810928.
What is the Eddie C. Jackson's specialty and taxonomy code?
The Eddie C. Jackson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073625687 to Eddie C. Jackson?
The Centers for Medicare & Medicaid Services assigned the 1073625687 to Eddie C. Jackson on 2006-08-31.
As of what date were the details pertaining to Eddie C. Jackson last refreshed?
The information related to the Eddie C. Jackson, including its address, specialty, and other relevant details, was last updated on 2012-06-19.