Donald William Jackson in Vicksburg - General Practice
Donald William Jackson - NPI 1760500649
Donald William Jackson is a General Practice in Vicksburg, Mississippi. Donald William Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Donald William Jackson is 1760500649. The last update date is 2007-07-08.
Donald William Jackson's current location address is 1909 A Mission 66, Vicksburg, Mississippi. You can contact this provider via phone number 6016368003 and fax number 6016389602. The mailing address for Donald William Jackson is 1909 A Mission 66, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald William Jackson |
|---|---|
| Address | 1909 A Mission 66, Vicksburg, Mississippi |
| Phone Number | 6016368003 |
| Fax Number | 6016389602 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760500649 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1909 A Mission 66 |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391803711 |
| Phone Number | 6016368003 |
| Fax Number | 6016389602 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 184079 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Donald William Jackson by the Centers for Medicare & Medicaid Services?
The Donald William Jackson has been issued the NPI (National Provider Identifier) 1760500649, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Donald William Jackson's facilities are geographically located?
The facilities of Donald William Jackson are physically situated at the following location: 1909 A Mission 66, Vicksburg, MS, 391803711.
What is Donald William Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Donald William Jackson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760500649 to Donald William Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1760500649 to Donald William Jackson on 2007-03-27.
When was the information related to Donald William Jackson most recently updated or refreshed?
The details pertaining to the Donald William Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.