Jonathan Bruce Junkin in Blytheville - General Practice

Jonathan Bruce Junkin - NPI 1144297821

Jonathan Bruce Junkin is a General Practice in Blytheville, Arkansas. Jonathan Bruce Junkin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jonathan Bruce Junkin is 1144297821. The last update date is 2013-11-13.

Jonathan Bruce Junkin's current location address is 540 E State Highway 239, Blytheville, Arkansas. You can contact this provider via phone number 9107502002. The mailing address for Jonathan Bruce Junkin is 540 E State Highway 239, Blytheville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Bruce Junkin
Address 540 E State Highway 239, Blytheville, Arkansas
Phone Number 9107502002
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1144297821
Provider Enumeration Date 2006-03-02
Last Updated Date 2013-11-13

Provider Mailing Address Detail

Address 540 E State Highway 239
City Blytheville
State Arkansas (AR)
Post Code 723158808
Phone Number 9107502002
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2987
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
62-1399728 TN TAX ID

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FAQs about Jonathan Bruce Junkin

What is the unique identification code assigned to Jonathan Bruce Junkin by the Centers for Medicare & Medicaid Services?

The Jonathan Bruce Junkin has been issued the NPI (National Provider Identifier) 1144297821. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jonathan Bruce Junkin is located?

The Jonathan Bruce Junkin is situated at the following address: 540 E State Highway 239, Blytheville, AR, 723158808.

What is Jonathan Bruce Junkin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jonathan Bruce Junkin's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1144297821 to Jonathan Bruce Junkin?

The Centers for Medicare & Medicaid Services assigned the 1144297821 to Jonathan Bruce Junkin on 2006-03-02.

As of what date was the information regarding Jonathan Bruce Junkin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jonathan Bruce Junkin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-13.

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