Dr. Jack Ursic, Pa in Lusby - General Practice

Dr. Jack Ursic, Pa - NPI 1194944744

Dr. Jack Ursic, Pa is a General Practice in Lusby, Maryland. Dr. Jack Ursic, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dr. Jack Ursic, Pa is 1194944744. The last update date is 2020-08-22.

Dr. Jack Ursic, Pa's current location address is 10025 Hg Trueman Rd, Lusby, Maryland. You can contact this provider via phone number 4103264078 and fax number 4103269311. The mailing address for Dr. Jack Ursic, Pa is 10025 Hg Trueman Rd, Lusby, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Jack Ursic, Pa
Address 10025 Hg Trueman Rd, Lusby, Maryland
Phone Number 4103264078
Fax Number 4103269311
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Pruitt Connie
Telephone Number 4103264078

NPI Number Detail

NPI Number 1194944744
Provider Enumeration Date 2007-04-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 10025 Hg Trueman Rd
City Lusby
State Maryland (MD)
Post Code 206572861
Phone Number 4103264078
Fax Number 4103269311

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7289
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 Dr. Jack Ursic, Pa

What is the unique provider identifier assigned to Dr. Jack Ursic, Pa?

The Dr. Jack Ursic, Pa has been issued the NPI (National Provider Identifier) 1194944744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Dr. Jack Ursic, Pa?

The Dr. Jack Ursic, Pa is physically situated at 10025 Hg Trueman Rd, in the city of Lusby, state of MD, with the postal code 206572861.

What is Dr. Jack Ursic, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dr. Jack Ursic, Pa is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194944744 to Dr. Jack Ursic, Pa?

The Dr. Jack Ursic, Pa received its 1194944744 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.

When was the information pertaining to Dr. Jack Ursic, Pa most recently updated or revised?

The details related to Dr. Jack Ursic, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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