Jack Eldred Luce in Grants Pass - General Practice
Jack Eldred Luce - NPI 1477552800
Jack Eldred Luce is a General Practice in Grants Pass, Oregon. Jack Eldred Luce practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Eldred Luce is 1477552800. The last update date is 2007-07-08.
Jack Eldred Luce's current location address is 1215 Ne 7th St, Grants Pass, Oregon. You can contact this provider via phone number 5414796623 and fax number 5414796776. The mailing address for Jack Eldred Luce is 1215 Ne 7th St, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Eldred Luce |
|---|---|
| Address | 1215 Ne 7th St, Grants Pass, Oregon |
| Phone Number | 5414796623 |
| Fax Number | 5414796776 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477552800 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1215 Ne 7th St |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975261450 |
| Phone Number | 5414796623 |
| Fax Number | 5414796776 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D4641 |
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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 provider identifier assigned to Jack Eldred Luce?
The Jack Eldred Luce has been issued the NPI (National Provider Identifier) 1477552800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jack Eldred Luce is physically located?
The Jack Eldred Luce is physically situated at the following address: 1215 Ne 7Th St, Grants Pass, OR, 975261450.
What is the Jack Eldred Luce's specialty and taxonomy code?
The Jack Eldred Luce's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Jack Eldred Luce receive the assignment of its 1477552800 from the Centers for Medicare & Medicaid Services?
The Jack Eldred Luce was issued its 1477552800 by the Centers for Medicare & Medicaid Services on 2005-07-18.
When was the Jack Eldred Luce's information last updated?
The Jack Eldred Luce's information was last updated on 2007-07-08.
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