Anderson And Slack Pa in Jacksonville - General Practice

Anderson And Slack Pa - NPI 1508976440

Anderson And Slack Pa is a General Practice in Jacksonville, North Carolina. Anderson And Slack Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Anderson And Slack Pa is 1508976440. The last update date is 2020-08-22.

Anderson And Slack Pa's current location address is 200 Doctors Drive, Jacksonville, North Carolina. You can contact this provider via phone number 9103534242 and fax number 9105776421. The mailing address for Anderson And Slack Pa is 200 Doctors Drive, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Anderson And Slack Pa
Address 200 Doctors Drive, Jacksonville, North Carolina
Phone Number 9103534242
Fax Number 9105776421
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DDS
Authorized Official Name Anderson Clark Wayne
Credentials DDS
Telephone Number 9103534242

NPI Number Detail

NPI Number 1508976440
Provider Enumeration Date 2006-08-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 200 Doctors Drive
City Jacksonville
State North Carolina (NC)
Post Code 28546
Phone Number 9103534242
Fax Number 9105776421

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2996
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
2996 NC DELTA
2211 NC BCBS
8990244 NC --

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FAQs about Anderson And Slack Pa

What is the unique 10-digit identification code issued to Anderson And Slack Pa by the Centers for Medicare & Medicaid Services?

The Anderson And Slack Pa has been assigned the NPI (National Provider Identifier) 1508976440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Anderson And Slack Pa's facilities are situated?

The facilities of Anderson And Slack Pa are physically located at the following address: 200 Doctors Drive, Jacksonville, NC, 28546.

What is the Anderson And Slack Pa's specialty and taxonomy code?

The Anderson And Slack Pa's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the Anderson And Slack Pa receive its 1508976440?

The Anderson And Slack Pa was issued its 1508976440 on 2006-08-30, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Anderson And Slack Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Anderson And Slack Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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