Jackson And Moore Professional Corporation in San Bernardino - General Practice
Jackson And Moore Professional Corporation - NPI 1841396637
Jackson And Moore Professional Corporation is a General Practice in San Bernardino, California. Jackson And Moore Professional Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jackson And Moore Professional Corporation is 1841396637. The last update date is 2009-05-29.
Jackson And Moore Professional Corporation's current location address is 1047 Harriman Pl, San Bernardino, California. You can contact this provider via phone number 9097966700 and fax number 9097966779. The mailing address for Jackson And Moore Professional Corporation is 1047 Harriman Pl, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson And Moore Professional Corporation |
|---|---|
| Address | 1047 Harriman Pl, San Bernardino, California |
| Phone Number | 9097966700 |
| Fax Number | 9097966779 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DDS |
|---|---|
| Authorized Official Name | Jackson A Tanisha |
| Credentials | DDS |
| Telephone Number | 9097966700 |
NPI Number Detail
| NPI Number | 1841396637 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2009-05-29 |
Provider Mailing Address Detail
| Address | 1047 Harriman Pl |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924084203 |
| Phone Number | 9097966700 |
| Fax Number | 9097966779 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 10-digit identifier code assigned to Jackson And Moore Professional Corporation by the Centers for Medicare & Medicaid Services?
The Jackson And Moore Professional Corporation has been issued the NPI (National Provider Identifier) 1841396637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jackson And Moore Professional Corporation located?
The Jackson And Moore Professional Corporation is located at 1047 Harriman Pl, San Bernardino, CA 924084203.
What is Jackson And Moore Professional Corporation's area of expertise and its corresponding taxonomy classification?
The Jackson And Moore Professional Corporation's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jackson And Moore Professional Corporation receive the assignment of its 1841396637 from the Centers for Medicare & Medicaid Services?
The Jackson And Moore Professional Corporation was issued its 1841396637 by the Centers for Medicare & Medicaid Services on 2006-09-16.
As of what date were the details pertaining to Jackson And Moore Professional Corporation last refreshed?
The information related to the Jackson And Moore Professional Corporation, including its address, specialty, and other relevant details, was last updated on 2009-05-29.