Nicholas Stephen Jaksic in San Pedro - General Practice
Nicholas Stephen Jaksic - NPI 1285656645
Nicholas Stephen Jaksic is a General Practice in San Pedro, California. Nicholas Stephen Jaksic practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nicholas Stephen Jaksic is 1285656645. The last update date is 2008-06-19.
Nicholas Stephen Jaksic's current location address is 1360 West 6th Street, San Pedro, California. You can contact this provider via phone number 3108321181 and fax number 3108323722. The mailing address for Nicholas Stephen Jaksic is 1360 West 6th Street, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicholas Stephen Jaksic |
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Address | 1360 West 6th Street, San Pedro, California |
Phone Number | 3108321181 |
Fax Number | 3108323722 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1285656645 |
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Provider Enumeration Date | 2006-07-24 |
Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
Address | 1360 West 6th Street |
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City | San Pedro |
State | California (CA) |
Post Code | 90732 |
Phone Number | 3108321181 |
Fax Number | 3108323722 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 38058 |
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 Nicholas Stephen Jaksic's 1285656645?
The Nicholas Stephen Jaksic's NPI (National Provider Identifier) Number is 1285656645. 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 Nicholas Stephen Jaksic's facilities are geographically located?
The facilities of Nicholas Stephen Jaksic are physically situated at the following location: 1360 West 6Th Street, San Pedro, CA, 90732.
What is Nicholas Stephen Jaksic's area of expertise and its corresponding taxonomy classification?
The Nicholas Stephen Jaksic'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 was the 1285656645 assigned to Nicholas Stephen Jaksic?
The Nicholas Stephen Jaksic was issued its 1285656645 on 2006-07-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Nicholas Stephen Jaksic last refreshed?
The information related to the Nicholas Stephen Jaksic, including its address, specialty, and other relevant details, was last updated on 2008-06-19.