Scott Robert Jackson Dds Pc in Peoria - General Practice
Scott Robert Jackson Dds Pc - NPI 1932294741
Scott Robert Jackson Dds Pc is a General Practice in Peoria, Arizona. Scott Robert Jackson Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Scott Robert Jackson Dds Pc is 1932294741. The last update date is 2020-08-22.
Scott Robert Jackson Dds Pc's current location address is 13660 N 94th Dr, Peoria, Arizona. You can contact this provider via phone number 6239330550 and fax number 6239332722. The mailing address for Scott Robert Jackson Dds Pc is 13660 N 94th Dr, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scott Robert Jackson Dds Pc |
|---|---|
| Address | 13660 N 94th Dr, Peoria, Arizona |
| Phone Number | 6239330550 |
| Fax Number | 6239332722 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jackson Robert Scott |
| Credentials | DDS PC |
| Telephone Number | 6239330550 |
NPI Number Detail
| NPI Number | 1932294741 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 13660 N 94th Dr |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814836 |
| Phone Number | 6239330550 |
| Fax Number | 6239332722 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2532 |
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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 Scott Robert Jackson Dds Pc's 1932294741?
The Scott Robert Jackson Dds Pc's NPI (National Provider Identifier) Number is 1932294741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Scott Robert Jackson Dds Pc's facilities are geographically located?
The facilities of Scott Robert Jackson Dds Pc are physically situated at the following location: 13660 N 94Th Dr, Peoria, AZ, 853814836.
What is the area of specialization for Scott Robert Jackson Dds Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Scott Robert Jackson Dds Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932294741 to Scott Robert Jackson Dds Pc?
The Scott Robert Jackson Dds Pc received its 1932294741 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information regarding Scott Robert Jackson Dds Pc most recently updated?
The details pertaining to the Scott Robert Jackson Dds Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY