Jerry Ray Driver in Gainesboro - General Practice

Jerry Ray Driver - NPI 1508081233

Jerry Ray Driver is a General Practice in Gainesboro, Tennessee. Jerry Ray Driver practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Ray Driver is 1508081233. The last update date is 2007-07-08.

Jerry Ray Driver's current location address is Po Box 595, Gainesboro, Tennessee. You can contact this provider via phone number 9312689323. The mailing address for Jerry Ray Driver is Po Box 595, Gainesboro, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Ray Driver
Address Po Box 595, Gainesboro, Tennessee
Phone Number 9312689323
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1508081233
Provider Enumeration Date 2007-04-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 595
City Gainesboro
State Tennessee (TN)
Post Code 385620595
Phone Number 9312689323
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS0000004017
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
16452 TN TNCARE

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FAQs about Jerry Ray Driver

What is the Jerry Ray Driver's unique identification number?

The Jerry Ray Driver has been assigned the NPI (National Provider Identifier) Number 1508081233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jerry Ray Driver is geographically located?

The Jerry Ray Driver is physically situated at the following location: Po Box 595, Gainesboro, TN, 385620595.

What is Jerry Ray Driver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerry Ray Driver's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Jerry Ray Driver receive its 1508081233 assignment from the Centers for Medicare & Medicaid Services?

The Jerry Ray Driver was assigned its 1508081233 by the Centers for Medicare & Medicaid Services on 2007-04-16.

As of what date was the information regarding Jerry Ray Driver, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jerry Ray Driver, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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