Matthew Joseph Jackson in Eustis - General Practice
Matthew Joseph Jackson - NPI 1649499948
Matthew Joseph Jackson is a General Practice in Eustis, Florida. Matthew Joseph Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew Joseph Jackson is 1649499948. The last update date is 2013-01-10.
Matthew Joseph Jackson's current location address is 1141 S Eustis St, Eustis, Florida. You can contact this provider via phone number 3525892099. The mailing address for Matthew Joseph Jackson is 1141 S Eustis St, Eustis, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Joseph Jackson |
|---|---|
| Address | 1141 S Eustis St, Eustis, Florida |
| Phone Number | 3525892099 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1649499948 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2013-01-10 |
Provider Mailing Address Detail
| Address | 1141 S Eustis St |
|---|---|
| City | Eustis |
| State | Florida (FL) |
| Post Code | 327265558 |
| Phone Number | 3525892099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN17428 |
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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 Matthew Joseph Jackson's unique identification number?
The Matthew Joseph Jackson has been assigned the NPI (National Provider Identifier) Number 1649499948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Matthew Joseph Jackson?
The Matthew Joseph Jackson is physically situated at 1141 S Eustis St, in the city of Eustis, state of FL, with the postal code 327265558.
What is the Matthew Joseph Jackson's specialty and taxonomy code?
The Matthew Joseph Jackson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Matthew Joseph Jackson receive its 1649499948 assignment?
The Matthew Joseph Jackson was assigned its 1649499948 on 2007-04-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Matthew Joseph Jackson last refreshed?
The information related to the Matthew Joseph Jackson, including its address, specialty, and other relevant details, was last updated on 2013-01-10.