Jerry David Whitaker in Trenton - General Practice
Jerry David Whitaker - NPI 1255403440
Jerry David Whitaker is a General Practice in Trenton, Missouri. Jerry David Whitaker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry David Whitaker is 1255403440. The last update date is 2007-07-08.
Jerry David Whitaker's current location address is 1125 E 17th St, Trenton, Missouri. You can contact this provider via phone number 6603592005 and fax number 6603592461. The mailing address for Jerry David Whitaker is 1125 E 17th St, Trenton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry David Whitaker |
|---|---|
| Address | 1125 E 17th St, Trenton, Missouri |
| Phone Number | 6603592005 |
| Fax Number | 6603592461 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1255403440 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1125 E 17th St |
|---|---|
| City | Trenton |
| State | Missouri (MO) |
| Post Code | 646831929 |
| Phone Number | 6603592005 |
| Fax Number | 6603592461 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15619 |
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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 Jerry David Whitaker by the Centers for Medicare & Medicaid Services?
The Jerry David Whitaker has been issued the NPI (National Provider Identifier) 1255403440. 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 Jerry David Whitaker?
The Jerry David Whitaker is physically situated at 1125 E 17Th St, in the city of Trenton, state of MO, with the postal code 646831929.
What is Jerry David Whitaker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry David Whitaker is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did the Jerry David Whitaker receive its 1255403440?
The Jerry David Whitaker was issued its 1255403440 on 2006-11-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jerry David Whitaker most recently updated or revised?
The details related to Jerry David Whitaker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.