Ronald Corey Jackson in Old Hickory - General Practice

Ronald Corey Jackson - NPI 1548281017

Ronald Corey Jackson is a General Practice in Old Hickory, Tennessee. Ronald Corey Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ronald Corey Jackson is 1548281017. The last update date is 2007-07-08.

Ronald Corey Jackson's current location address is 308 Grandview Dr, Old Hickory, Tennessee. You can contact this provider via phone number 6157589670. The mailing address for Ronald Corey Jackson is 308 Grandview Dr, Old Hickory, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Corey Jackson
Address 308 Grandview Dr, Old Hickory, Tennessee
Phone Number 6157589670
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1548281017
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 308 Grandview Dr
City Old Hickory
State Tennessee (TN)
Post Code 371381645
Phone Number 6157589670
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8279
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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FAQs about Ronald Corey Jackson

What is the unique 10-digit identification code assigned to Ronald Corey Jackson by the Centers for Medicare & Medicaid Services?

The Ronald Corey Jackson has been issued the NPI (National Provider Identifier) 1548281017, 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 Ronald Corey Jackson's facilities are situated?

The facilities of Ronald Corey Jackson are physically located at the following address: 308 Grandview Dr, Old Hickory, TN, 371381645.

What is Ronald Corey Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ronald Corey Jackson is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Ronald Corey Jackson receive its 1548281017 assignment from the Centers for Medicare & Medicaid Services?

The Ronald Corey Jackson was assigned its 1548281017 by the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information pertaining to Ronald Corey Jackson most recently updated or revised?

The details related to Ronald Corey Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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