Jackson Cockley in Mansfield - Pediatric Dentistry
Jackson Cockley - NPI 1487740114
Jackson Cockley is a Pediatric Dentistry in Mansfield, Ohio. Jackson Cockley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jackson Cockley is 1487740114. The last update date is 2012-01-03.
Jackson Cockley's current location address is 1145 Aspira Ct, Mansfield, Ohio. You can contact this provider via phone number 4197747529 and fax number 4197747529. The mailing address for Jackson Cockley is 1145 Aspira Ct, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson Cockley |
|---|---|
| Address | 1145 Aspira Ct, Mansfield, Ohio |
| Phone Number | 4197747529 |
| Fax Number | 4197747529 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487740114 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2012-01-03 |
Provider Mailing Address Detail
| Address | 1145 Aspira Ct |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449064125 |
| Phone Number | 4197747529 |
| Fax Number | 4197747529 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 30021945 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2704818 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jackson Cockley?
The Jackson Cockley has been issued the NPI (National Provider Identifier) 1487740114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jackson Cockley's facilities are geographically located?
The facilities of Jackson Cockley are physically situated at the following location: 1145 Aspira Ct, Mansfield, OH, 449064125.
What is Jackson Cockley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Cockley's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Jackson Cockley receive the assignment of its 1487740114 from the Centers for Medicare & Medicaid Services?
The Jackson Cockley was issued its 1487740114 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information regarding Jackson Cockley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Cockley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY