W. Gerald Jackson in Devon - General Practice
W. Gerald Jackson - NPI 1053479386
W. Gerald Jackson is a General Practice in Devon, Pennsylvania. W. Gerald Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for W. Gerald Jackson is 1053479386. The last update date is 2007-07-08.
W. Gerald Jackson's current location address is 12 Arlington Rd, Devon, Pennsylvania. You can contact this provider via phone number 6106875336 and fax number 6106879441. The mailing address for W. Gerald Jackson is 12 Arlington Rd, Devon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | W. Gerald Jackson |
|---|---|
| Address | 12 Arlington Rd, Devon, Pennsylvania |
| Phone Number | 6106875336 |
| Fax Number | 6106879441 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1053479386 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12 Arlington Rd |
|---|---|
| City | Devon |
| State | Pennsylvania (PA) |
| Post Code | 193331573 |
| Phone Number | 6106875336 |
| Fax Number | 6106879441 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS023668-L |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95198 | PA | UNITED CONCORDIA INSURANC |
Post Comment/ Review Below
What is the unique identification code assigned to W. Gerald Jackson by the Centers for Medicare & Medicaid Services?
The W. Gerald Jackson has been issued the NPI (National Provider Identifier) 1053479386. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where W. Gerald Jackson is physically located?
The W. Gerald Jackson is situated at the following address: 12 Arlington Rd, Devon, PA 193331573.
What is W. Gerald Jackson's area of expertise and its corresponding taxonomy classification?
The W. Gerald Jackson's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the W. Gerald Jackson receive the assignment of its 1053479386 from the Centers for Medicare & Medicaid Services?
The W. Gerald Jackson was issued its 1053479386 by the Centers for Medicare & Medicaid Services on 2006-12-06.
When was the information regarding W. Gerald Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to W. Gerald Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.