Brandi Rochelle Jackson in Davidson - Pediatric Dentistry
Brandi Rochelle Jackson - NPI 1912186321
Brandi Rochelle Jackson is a Pediatric Dentistry in Davidson, North Carolina. Brandi Rochelle Jackson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brandi Rochelle Jackson is 1912186321. The last update date is 2011-06-16.
Brandi Rochelle Jackson's current location address is 11223 Davinci Dr, Davidson, North Carolina. You can contact this provider via phone number 7048956445 and fax number 7048956496. The mailing address for Brandi Rochelle Jackson is 11223 Davinci Dr, Davidson, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandi Rochelle Jackson |
|---|---|
| Address | 11223 Davinci Dr, Davidson, North Carolina |
| Phone Number | 7048956445 |
| Fax Number | 7048956496 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912186321 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2011-06-16 |
Provider Mailing Address Detail
| Address | 11223 Davinci Dr |
|---|---|
| City | Davidson |
| State | North Carolina (NC) |
| Post Code | 280367799 |
| Phone Number | 7048956445 |
| Fax Number | 7048956496 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8224 |
|
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 unique identifier code issued to Brandi Rochelle Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Brandi Rochelle Jackson has been assigned the NPI (National Provider Identifier) 1912186321. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Brandi Rochelle Jackson's facilities are situated?
The facilities of Brandi Rochelle Jackson are physically located at the following address: 11223 Davinci Dr, Davidson, NC, 280367799.
What is Brandi Rochelle Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brandi Rochelle Jackson is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Brandi Rochelle Jackson receive its 1912186321 assignment from the Centers for Medicare & Medicaid Services?
The Brandi Rochelle Jackson was assigned its 1912186321 by the Centers for Medicare & Medicaid Services on 2007-11-01.
As of what date was the information regarding Brandi Rochelle Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brandi Rochelle Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-06-16.