Jack Alkon is a General Practice in Southington, Connecticut. Jack Alkon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Alkon is 1104820505. The last update date is 2007-07-08.
Jack Alkon's current location address is 51 N Main St, Southington, Connecticut. You can contact this provider via phone number 8606216321. The mailing address for Jack Alkon is 51 N Main St, Southington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Alkon |
|---|---|
| Address | 51 N Main St, Southington, Connecticut |
| Phone Number | 8606216321 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1104820505 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 51 N Main St |
|---|---|
| City | Southington |
| State | Connecticut (CT) |
| Post Code | 648925370 |
| Phone Number | 8606216321 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4577 |
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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 identification code issued to Jack Alkon by the Centers for Medicare & Medicaid Services?
The Jack Alkon has been assigned the NPI (National Provider Identifier) 1104820505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jack Alkon?
The Jack Alkon is situated at 51 N Main St, in the city of Southington, state of CT, with the zip code 648925370.
What is Jack Alkon's area of expertise and its corresponding taxonomy classification?
The Jack Alkon'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 Centers for Medicare & Medicaid Services issue the 1104820505 to Jack Alkon?
The Jack Alkon received its 1104820505 assignment from the Centers for Medicare & Medicaid Services on 2005-06-13.
As of what date were the details related to Jack Alkon most recently updated or revised?
The information pertaining to Jack Alkon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.