Waunelle Jackson Ian in Marietta - General Practice
Waunelle Jackson Ian - NPI 1811006471
Waunelle Jackson Ian is a General Practice in Marietta, Georgia. Waunelle Jackson Ian practices all healthcare services and medical treatments related to General Practice. The NPI Number for Waunelle Jackson Ian is 1811006471. The last update date is 2007-07-08.
Waunelle Jackson Ian's current location address is 2520 Windy Hill Road, Marietta, Georgia. You can contact this provider via phone number 7709534801. The mailing address for Waunelle Jackson Ian is 2520 Windy Hill Road, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Waunelle Jackson Ian |
|---|---|
| Address | 2520 Windy Hill Road, Marietta, Georgia |
| Phone Number | 7709534801 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811006471 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2520 Windy Hill Road |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 30067 |
| Phone Number | 7709534801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10271 |
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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 Waunelle Jackson Ian's unique identification number?
The Waunelle Jackson Ian has been assigned the NPI (National Provider Identifier) Number 1811006471 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 Waunelle Jackson Ian?
The Waunelle Jackson Ian is physically situated at 2520 Windy Hill Road, in the city of Marietta, state of GA, with the postal code 30067.
What is Waunelle Jackson Ian's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Waunelle Jackson Ian is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When was the Waunelle Jackson Ian's 1811006471 issued?
The Waunelle Jackson Ian's 1811006471 was issued on 2006-08-29.
When was the information related to Waunelle Jackson Ian most recently updated or refreshed?
The details pertaining to the Waunelle Jackson Ian, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.