Charles Bryan Jakobsen in Phoenix - General Practice
Charles Bryan Jakobsen - NPI 1235292046
Charles Bryan Jakobsen is a General Practice in Phoenix, Arizona. Charles Bryan Jakobsen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Bryan Jakobsen is 1235292046. The last update date is 2007-07-08.
Charles Bryan Jakobsen's current location address is 4130 N 108th Ave, Phoenix, Arizona. You can contact this provider via phone number 6237729600 and fax number 6237729601. The mailing address for Charles Bryan Jakobsen is 4130 N 108th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Bryan Jakobsen |
|---|---|
| Address | 4130 N 108th Ave, Phoenix, Arizona |
| Phone Number | 6237729600 |
| Fax Number | 6237729601 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1235292046 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4130 N 108th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850375774 |
| Phone Number | 6237729600 |
| Fax Number | 6237729601 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6266 |
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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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What is the unique identifier code issued to Charles Bryan Jakobsen by the Centers for Medicare & Medicaid Services?
The Charles Bryan Jakobsen has been assigned the NPI (National Provider Identifier) 1235292046. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Bryan Jakobsen?
The Charles Bryan Jakobsen is physically situated at 4130 N 108Th Ave, in the city of Phoenix, state of AZ, with the postal code 850375774.
What is Charles Bryan Jakobsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Bryan Jakobsen is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235292046 to Charles Bryan Jakobsen?
The Centers for Medicare & Medicaid Services originally issued the 1235292046 to Charles Bryan Jakobsen on 2006-12-19.
When was the information pertaining to Charles Bryan Jakobsen most recently updated or revised?
The details related to Charles Bryan Jakobsen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC