Jason Simon Eaglin in Jonesboro - General Practice
Jason Simon Eaglin - NPI 1053329136
Jason Simon Eaglin is a General Practice in Jonesboro, Georgia. Jason Simon Eaglin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Simon Eaglin is 1053329136. The last update date is 2007-12-10.
Jason Simon Eaglin's current location address is 248 Arrowhead Blvd, Jonesboro, Georgia. You can contact this provider via phone number 7704712333 and fax number 7704730236. The mailing address for Jason Simon Eaglin is 248 Arrowhead Blvd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Simon Eaglin |
|---|---|
| Address | 248 Arrowhead Blvd, Jonesboro, Georgia |
| Phone Number | 7704712333 |
| Fax Number | 7704730236 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053329136 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-12-10 |
Provider Mailing Address Detail
| Address | 248 Arrowhead Blvd |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302361106 |
| Phone Number | 7704712333 |
| Fax Number | 7704730236 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN013169 |
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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 |
|---|---|---|---|
| 779829461A | GA | -- | |
| 1755220 | PA | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Simon Eaglin?
The Jason Simon Eaglin has been issued the NPI (National Provider Identifier) 1053329136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jason Simon Eaglin's facilities are situated?
The facilities of Jason Simon Eaglin are physically located at the following address: 248 Arrowhead Blvd, Jonesboro, GA, 302361106.
What is Jason Simon Eaglin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Simon Eaglin is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053329136 to Jason Simon Eaglin?
The Centers for Medicare & Medicaid Services assigned the 1053329136 to Jason Simon Eaglin on 2006-08-04.
As of what date were the details related to Jason Simon Eaglin most recently updated or revised?
The information pertaining to Jason Simon Eaglin, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-10.
NPI Number: 1063415297
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