Jerry D Shipley in Dallas - General Practice
Jerry D Shipley - NPI 1821017179
Jerry D Shipley is a General Practice in Dallas, Texas. Jerry D Shipley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry D Shipley is 1821017179. The last update date is 2007-07-08.
Jerry D Shipley's current location address is 5414 Alpha Rd, Dallas, Texas. You can contact this provider via phone number 9724581541. The mailing address for Jerry D Shipley is 5414 Alpha Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D Shipley |
|---|---|
| Address | 5414 Alpha Rd, Dallas, Texas |
| Phone Number | 9724581541 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821017179 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5414 Alpha Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752404506 |
| Phone Number | 9724581541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13806 |
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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 |
|---|---|---|---|
| 951362 | TX | UNITED CONCORDIA PROVIDER |
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What is the unique 10-digit identifier code issued to Jerry D Shipley by the Centers for Medicare & Medicaid Services?
The Jerry D Shipley has been assigned the NPI (National Provider Identifier) 1821017179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jerry D Shipley located?
The Jerry D Shipley is located at 5414 Alpha Rd, Dallas, TX 752404506.
What is the Jerry D Shipley's area of specialization and corresponding taxonomy classification?
The Jerry D Shipley's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1821017179 to Jerry D Shipley?
The Jerry D Shipley received its 1821017179 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the information regarding Jerry D Shipley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry D Shipley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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