Jason Patrick Glock in Wahoo - General Practice

Jason Patrick Glock - NPI 1871778423

Jason Patrick Glock is a General Practice in Wahoo, Nebraska. Jason Patrick Glock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Patrick Glock is 1871778423. The last update date is 2008-01-02.

Jason Patrick Glock's current location address is 357 E 4th St, Wahoo, Nebraska. You can contact this provider via phone number 4024435959. The mailing address for Jason Patrick Glock is 357 E 4th St, Wahoo, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Patrick Glock
Address 357 E 4th St, Wahoo, Nebraska
Phone Number 4024435959
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1871778423
Provider Enumeration Date 2008-01-02
Last Updated Date 2008-01-02

Provider Mailing Address Detail

Address 357 E 4th St
City Wahoo
State Nebraska (NE)
Post Code 680661920
Phone Number 4024435959
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6253
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4786 BLUE CROSS AND BLUE SHIEL
10025583000 NE --

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FAQs about Jason Patrick Glock

What is the unique 10-digit identifier code assigned to Jason Patrick Glock by the Centers for Medicare & Medicaid Services?

The Jason Patrick Glock has been issued the NPI (National Provider Identifier) 1871778423 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Jason Patrick Glock's physical address?

The Jason Patrick Glock is physically located at 357 E 4Th St, in the city of Wahoo, NE, with the postal code 680661920.

What is Jason Patrick Glock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jason Patrick Glock is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did Jason Patrick Glock receive its 1871778423 assignment?

The Jason Patrick Glock was assigned its 1871778423 on 2008-01-02, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Jason Patrick Glock last refreshed?

The information related to the Jason Patrick Glock, including its address, specialty, and other relevant details, was last updated on 2008-01-02.

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