Jackson Family Dentistry Pc in Waycross - General Practice
Jackson Family Dentistry Pc - NPI 1124157847
Jackson Family Dentistry Pc is a General Practice in Waycross, Georgia. Jackson Family Dentistry Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jackson Family Dentistry Pc is 1124157847. The last update date is 2008-02-12.
Jackson Family Dentistry Pc's current location address is 2009 Tebeau Street, Waycross, Georgia. You can contact this provider via phone number 9122831340 and fax number 9122830334. The mailing address for Jackson Family Dentistry Pc is 2009 Tebeau Street, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Family Dentistry Pc |
|---|---|
| Address | 2009 Tebeau Street, Waycross, Georgia |
| Phone Number | 9122831340 |
| Fax Number | 9122830334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Jackson Lee Andrew |
| Credentials | DMD |
| Telephone Number | 9122831340 |
NPI Number Detail
| NPI Number | 1124157847 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 2009 Tebeau Street |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 31501 |
| Phone Number | 9122831340 |
| Fax Number | 9122830334 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9840 |
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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 identification code assigned to Jackson Family Dentistry Pc by the Centers for Medicare & Medicaid Services?
The Jackson Family Dentistry Pc has been issued the NPI (National Provider Identifier) 1124157847. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jackson Family Dentistry Pc?
The Jackson Family Dentistry Pc is physically situated at 2009 Tebeau Street, in the city of Waycross, state of GA, with the postal code 31501.
What is Jackson Family Dentistry Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Family Dentistry Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124157847 to Jackson Family Dentistry Pc?
The Centers for Medicare & Medicaid Services originally issued the 1124157847 to Jackson Family Dentistry Pc on 2007-03-06.
As of what date were the details related to Jackson Family Dentistry Pc most recently updated or revised?
The information pertaining to Jackson Family Dentistry Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-12.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC