Andrew Spencer Jackson in Vallejo - General Practice
Andrew Spencer Jackson - NPI 1194811240
Andrew Spencer Jackson is a General Practice in Vallejo, California. Andrew Spencer Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Andrew Spencer Jackson is 1194811240. The last update date is 2007-07-08.
Andrew Spencer Jackson's current location address is 1832 Capitol St, Vallejo, California. You can contact this provider via phone number 7075524110 and fax number 7075526224. The mailing address for Andrew Spencer Jackson is 1832 Capitol St, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Spencer Jackson |
|---|---|
| Address | 1832 Capitol St, Vallejo, California |
| Phone Number | 7075524110 |
| Fax Number | 7075526224 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194811240 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1832 Capitol St |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 94590 |
| Phone Number | 7075524110 |
| Fax Number | 7075526224 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 23115 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 784273 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Andrew Spencer Jackson by the Centers for Medicare & Medicaid Services?
The Andrew Spencer Jackson has been issued the NPI (National Provider Identifier) 1194811240 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Andrew Spencer Jackson?
The Andrew Spencer Jackson is situated at 1832 Capitol St, in the city of Vallejo, state of CA, with the zip code 94590.
What is the Andrew Spencer Jackson's specialty and taxonomy code?
The Andrew Spencer Jackson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Andrew Spencer Jackson receive its 1194811240 assignment?
The Andrew Spencer Jackson was assigned its 1194811240 on 2006-10-05, which is the date when this unique identifier was issued to the organization.
When was the information related to Andrew Spencer Jackson most recently updated or refreshed?
The details pertaining to the Andrew Spencer Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.