Eli O. Jackson in Bowling Green - General Practice

Eli O. Jackson - NPI 1710959218

Eli O. Jackson is a General Practice in Bowling Green, Kentucky. Eli O. Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eli O. Jackson is 1710959218. The last update date is 2007-07-08.

Eli O. Jackson's current location address is 727 U.s. 31 W By Pass, Bowling Green, Kentucky. You can contact this provider via phone number 2707812952 and fax number 2707930977. The mailing address for Eli O. Jackson is 727 U.s. 31 W By Pass, Bowling Green, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Eli O. Jackson
Address 727 U.s. 31 W By Pass, Bowling Green, Kentucky
Phone Number 2707812952
Fax Number 2707930977
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1710959218
Provider Enumeration Date 2006-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 727 U.s. 31 W By Pass
City Bowling Green
State Kentucky (KY)
Post Code 421014999
Phone Number 2707812952
Fax Number 2707930977

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5450
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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FAQs about Eli O. Jackson

What is the unique identifier code issued to Eli O. Jackson by the Centers for Medicare & Medicaid Services (CMS)?

The Eli O. Jackson has been assigned the NPI (National Provider Identifier) 1710959218. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Eli O. Jackson is physically located?

The Eli O. Jackson is situated at the following address: 727 U.S. 31 W By Pass, Bowling Green, KY 421014999.

What is the area of specialization for Eli O. Jackson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Eli O. Jackson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Eli O. Jackson receive its 1710959218 assignment from the Centers for Medicare & Medicaid Services?

The Eli O. Jackson was assigned its 1710959218 on 2006-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Eli O. Jackson most recently updated?

The details pertaining to the Eli O. Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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