Dawn A Jackson-Breeden Dmd Ltd in Carterville - General Practice
Dawn A Jackson-Breeden Dmd Ltd - NPI 1649492059
Dawn A Jackson-Breeden Dmd Ltd is a General Practice in Carterville, Illinois. Dawn A Jackson-Breeden Dmd Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dawn A Jackson-Breeden Dmd Ltd is 1649492059. The last update date is 2020-08-22.
Dawn A Jackson-Breeden Dmd Ltd's current location address is 300 Arbor Dr, Carterville, Illinois. You can contact this provider via phone number 6184394391. The mailing address for Dawn A Jackson-Breeden Dmd Ltd is 300 Arbor Dr, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dawn A Jackson-Breeden Dmd Ltd |
|---|---|
| Address | 300 Arbor Dr, Carterville, Illinois |
| Phone Number | 6184394391 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jackson-Breeden Dawn |
| Credentials | DMD |
| Telephone Number | 6184394391 |
NPI Number Detail
| NPI Number | 1649492059 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 Arbor Dr |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629181042 |
| Phone Number | 6184394391 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 assigned to Dawn A Jackson-Breeden Dmd Ltd by the Centers for Medicare & Medicaid Services?
The Dawn A Jackson-Breeden Dmd Ltd has been issued the NPI (National Provider Identifier) 1649492059, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dawn A Jackson-Breeden Dmd Ltd's facilities are situated?
The facilities of Dawn A Jackson-Breeden Dmd Ltd are physically located at the following address: 300 Arbor Dr, Carterville, IL, 629181042.
What is Dawn A Jackson-Breeden Dmd Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dawn A Jackson-Breeden Dmd Ltd is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Dawn A Jackson-Breeden Dmd Ltd receive its 1649492059 assignment from the Centers for Medicare & Medicaid Services?
The Dawn A Jackson-Breeden Dmd Ltd was assigned its 1649492059 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dawn A Jackson-Breeden Dmd Ltd's details last updated?
The information pertaining to the Dawn A Jackson-Breeden Dmd Ltd, including its address, specialty, and other details, was most recently updated on 2020-08-22.