Jack H Lincks is a Periodontics in Boise, Idaho. Jack H Lincks practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jack H Lincks is 1346224458. The last update date is 2007-07-08.
Jack H Lincks's current location address is 4550 Oregon Trail Pl, Boise, Idaho. You can contact this provider via phone number 8087838368. The mailing address for Jack H Lincks is 4550 Oregon Trail Pl, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack H Lincks |
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Address | 4550 Oregon Trail Pl, Boise, Idaho |
Phone Number | 8087838368 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS, MS |
NPI Number Detail
NPI Number | 1346224458 |
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Provider Enumeration Date | 2005-12-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4550 Oregon Trail Pl |
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City | Boise |
State | Idaho (ID) |
Post Code | 837165657 |
Phone Number | 8087838368 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 4199 |
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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What is the unique 10-digit identifier code issued to Jack H Lincks by the Centers for Medicare & Medicaid Services?
The Jack H Lincks has been assigned the NPI (National Provider Identifier) 1346224458 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jack H Lincks?
The Jack H Lincks is physically situated at 4550 Oregon Trail Pl, in the city of Boise, state of ID, with the postal code 837165657.
What is the Jack H Lincks's specialty and taxonomy code?
The Jack H Lincks's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346224458 to Jack H Lincks?
The Jack H Lincks received its 1346224458 assignment from the Centers for Medicare & Medicaid Services on 2005-12-01.
When was the Jack H Lincks's information last updated?
The Jack H Lincks's information was last updated on 2007-07-08.