Kenneth Allen Jandik in Fort Myers - Periodontics
Kenneth Allen Jandik - NPI 1639271299
Kenneth Allen Jandik is a Periodontics in Fort Myers, Florida. Kenneth Allen Jandik practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth Allen Jandik is 1639271299. The last update date is 2007-07-08.
Kenneth Allen Jandik's current location address is 35 Barkley Cir Ste 1, Fort Myers, Florida. You can contact this provider via phone number 2392757907 and fax number 2392743405. The mailing address for Kenneth Allen Jandik is 35 Barkley Cir Ste 1, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Allen Jandik |
|---|---|
| Address | 35 Barkley Cir Ste 1, Fort Myers, Florida |
| Phone Number | 2392757907 |
| Fax Number | 2392743405 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1639271299 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 35 Barkley Cir Ste 1 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339077531 |
| Phone Number | 2392757907 |
| Fax Number | 2392743405 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN15424 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Allen Jandik by the Centers for Medicare & Medicaid Services?
The Kenneth Allen Jandik has been assigned the NPI (National Provider Identifier) 1639271299 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Allen Jandik?
The Kenneth Allen Jandik is situated at 35 Barkley Cir Ste 1, in the city of Fort Myers, state of FL, with the zip code 339077531.
What is Kenneth Allen Jandik's area of expertise and its corresponding taxonomy classification?
The Kenneth Allen Jandik's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639271299 to Kenneth Allen Jandik?
The Centers for Medicare & Medicaid Services originally issued the 1639271299 to Kenneth Allen Jandik on 2006-09-03.
When was the Kenneth Allen Jandik's information last updated?
The Kenneth Allen Jandik's information was last updated on 2007-07-08.