Steven Craig Jackson in Manassas - General Practice

Steven Craig Jackson - NPI 1699754176

Steven Craig Jackson is a General Practice in Manassas, Virginia. Steven Craig Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Steven Craig Jackson is 1699754176. The last update date is 2007-07-08.

Steven Craig Jackson's current location address is 7740 Donegan Dr, Manassas, Virginia. You can contact this provider via phone number 7033696282 and fax number 7033615822. The mailing address for Steven Craig Jackson is 7740 Donegan Dr, Manassas, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Craig Jackson
Address 7740 Donegan Dr, Manassas, Virginia
Phone Number 7033696282
Fax Number 7033615822
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1699754176
Provider Enumeration Date 2006-01-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7740 Donegan Dr
City Manassas
State Virginia (VA)
Post Code 201092868
Phone Number 7033696282
Fax Number 7033615822

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 401006452
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 Steven Craig Jackson

What is the unique identifier code issued to Steven Craig Jackson by the Centers for Medicare & Medicaid Services (CMS)?

The Steven Craig Jackson has been assigned the NPI (National Provider Identifier) 1699754176. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Steven Craig Jackson is located?

The Steven Craig Jackson is situated at the following address: 7740 Donegan Dr, Manassas, VA, 201092868.

What is Steven Craig Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Steven Craig Jackson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date was the 1699754176 assigned to Steven Craig Jackson?

The Steven Craig Jackson was issued its 1699754176 on 2006-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Steven Craig Jackson's details last updated?

The information pertaining to the Steven Craig Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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