Jessica Collins Sampson in Pembroke - General Practice

Jessica Collins Sampson - NPI 1114141363

Jessica Collins Sampson is a General Practice in Pembroke, North Carolina. Jessica Collins Sampson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessica Collins Sampson is 1114141363. The last update date is 2007-07-09.

Jessica Collins Sampson's current location address is 216 Wardell Rd, Pembroke, North Carolina. You can contact this provider via phone number 9105218646 and fax number 9105218643. The mailing address for Jessica Collins Sampson is 216 Wardell Rd, Pembroke, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Collins Sampson
Address 216 Wardell Rd, Pembroke, North Carolina
Phone Number 9105218646
Fax Number 9105218643
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1114141363
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 216 Wardell Rd
City Pembroke
State North Carolina (NC)
Post Code 28372
Phone Number 9105218646
Fax Number 9105218643

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8208
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
5905480 NC --

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FAQs about Jessica Collins Sampson

What is the unique 10-digit identification code assigned to Jessica Collins Sampson by the Centers for Medicare & Medicaid Services?

The Jessica Collins Sampson has been issued the NPI (National Provider Identifier) 1114141363, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jessica Collins Sampson's facilities are situated?

The facilities of Jessica Collins Sampson are physically located at the following address: 216 Wardell Rd, Pembroke, NC, 28372.

What is the area of specialization for Jessica Collins Sampson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jessica Collins Sampson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Jessica Collins Sampson receive the assignment of its 1114141363 from the Centers for Medicare & Medicaid Services?

The Jessica Collins Sampson was issued its 1114141363 by the Centers for Medicare & Medicaid Services on 2007-04-12.

As of what date was the information pertaining to Jessica Collins Sampson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jessica Collins Sampson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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