Kevin R Jackson in Powder Springs - Pediatric Dentistry
Kevin R Jackson - NPI 1265570683
Kevin R Jackson is a Pediatric Dentistry in Powder Springs, Georgia. Kevin R Jackson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kevin R Jackson is 1265570683. The last update date is 2007-07-10.
Kevin R Jackson's current location address is 4150 Macland Rd, Powder Springs, Georgia. You can contact this provider via phone number 7702221344 and fax number 7702221345. The mailing address for Kevin R Jackson is 4150 Macland Rd, Powder Springs, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin R Jackson |
|---|---|
| Address | 4150 Macland Rd, Powder Springs, Georgia |
| Phone Number | 7702221344 |
| Fax Number | 7702221345 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265570683 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 4150 Macland Rd |
|---|---|
| City | Powder Springs |
| State | Georgia (GA) |
| Post Code | 3012712020 |
| Phone Number | 7702221344 |
| Fax Number | 7702221345 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN012902 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the Kevin R Jackson's unique identification number?
The Kevin R Jackson has been assigned the NPI (National Provider Identifier) Number 1265570683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kevin R Jackson's facilities are geographically located?
The facilities of Kevin R Jackson are physically situated at the following location: 4150 Macland Rd, Powder Springs, GA, 3012712020.
What is Kevin R Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin R Jackson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did the Kevin R Jackson receive its 1265570683?
The Kevin R Jackson was issued its 1265570683 on 2007-02-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kevin R Jackson most recently updated or revised?
The information pertaining to Kevin R Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-10.
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