Jack R Ashlock is a General Practice in Spokane, Washington. Jack R Ashlock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack R Ashlock is 1174505002. The last update date is 2007-07-09.
Jack R Ashlock's current location address is 12105 N Riverwood Dr, Spokane, Washington. You can contact this provider via phone number 5094682068. The mailing address for Jack R Ashlock is 12105 N Riverwood Dr, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack R Ashlock |
|---|---|
| Address | 12105 N Riverwood Dr, Spokane, Washington |
| Phone Number | 5094682068 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174505002 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12105 N Riverwood Dr |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992183500 |
| Phone Number | 5094682068 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4470 |
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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 |
|---|---|---|---|
| 591231 | WA | UNITED CONCORDIA PROVIDER | |
| 5397203 | WA | -- |
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What is the unique 10-digit identification code issued to Jack R Ashlock by the Centers for Medicare & Medicaid Services?
The Jack R Ashlock has been assigned the NPI (National Provider Identifier) 1174505002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jack R Ashlock is located?
The Jack R Ashlock is situated at the following address: 12105 N Riverwood Dr, Spokane, WA, 992183500.
What is Jack R Ashlock's area of expertise and its corresponding taxonomy classification?
The Jack R Ashlock's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jack R Ashlock receive its 1174505002 assignment from the Centers for Medicare & Medicaid Services?
The Jack R Ashlock was assigned its 1174505002 by the Centers for Medicare & Medicaid Services on 2005-11-16.
As of what date were the Jack R Ashlock's details last updated?
The information pertaining to the Jack R Ashlock, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH