Jonathan David Packard in Roy - General Practice
Jonathan David Packard - NPI 1457373805
Jonathan David Packard is a General Practice in Roy, Utah. Jonathan David Packard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jonathan David Packard is 1457373805. The last update date is 2007-07-08.
Jonathan David Packard's current location address is 3505 W 4800 S, Roy, Utah. You can contact this provider via phone number 8019853300 and fax number 8019853301. The mailing address for Jonathan David Packard is 3505 W 4800 S, Roy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan David Packard |
|---|---|
| Address | 3505 W 4800 S, Roy, Utah |
| Phone Number | 8019853300 |
| Fax Number | 8019853301 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1457373805 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3505 W 4800 S |
|---|---|
| City | Roy |
| State | Utah (UT) |
| Post Code | 840679461 |
| Phone Number | 8019853300 |
| Fax Number | 8019853301 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 294835-9922 |
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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 identification code assigned to Jonathan David Packard by the Centers for Medicare & Medicaid Services?
The Jonathan David Packard has been issued the NPI (National Provider Identifier) 1457373805. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jonathan David Packard?
The Jonathan David Packard is situated at 3505 W 4800 S, in the city of Roy, state of UT, with the zip code 840679461.
What is Jonathan David Packard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jonathan David Packard is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Jonathan David Packard receive the assignment of its 1457373805 from the Centers for Medicare & Medicaid Services?
The Jonathan David Packard was issued its 1457373805 by the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the Jonathan David Packard's details last updated?
The information pertaining to the Jonathan David Packard, including its address, specialty, and other details, was most recently updated on 2007-07-08.