David B Jackson Dds Ms Plc in Muskegon - Periodontics

David B Jackson Dds Ms Plc - NPI 1144323205

David B Jackson Dds Ms Plc is a Periodontics in Muskegon, Michigan. David B Jackson Dds Ms Plc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David B Jackson Dds Ms Plc is 1144323205. The last update date is 2020-08-22.

David B Jackson Dds Ms Plc's current location address is 433 W Seminole Road, Muskegon, Michigan. You can contact this provider via phone number 2317397657 and fax number 2317375107. The mailing address for David B Jackson Dds Ms Plc is 433 W Seminole Road, Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization David B Jackson Dds Ms Plc
Address 433 W Seminole Road, Muskegon, Michigan
Phone Number 2317397657
Fax Number 2317375107
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Jackson J Melanie
Telephone Number 2317397657

NPI Number Detail

NPI Number 1144323205
Provider Enumeration Date 2006-09-06
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 433 W Seminole Road
City Muskegon
State Michigan (MI)
Post Code 49444
Phone Number 2317397657
Fax Number 2317375107

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
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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FAQs about David B Jackson Dds Ms Plc

What is the unique identifier code issued to David B Jackson Dds Ms Plc by the Centers for Medicare & Medicaid Services (CMS)?

The David B Jackson Dds Ms Plc has been assigned the NPI (National Provider Identifier) 1144323205. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where David B Jackson Dds Ms Plc is physically located?

The David B Jackson Dds Ms Plc is physically situated at the following address: 433 W Seminole Road, Muskegon, MI, 49444.

What is David B Jackson Dds Ms Plc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David B Jackson Dds Ms Plc is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the David B Jackson Dds Ms Plc receive the assignment of its 1144323205 from the Centers for Medicare & Medicaid Services?

The David B Jackson Dds Ms Plc was issued its 1144323205 by the Centers for Medicare & Medicaid Services on 2006-09-06.

When was the information related to David B Jackson Dds Ms Plc most recently updated or refreshed?

The details pertaining to the David B Jackson Dds Ms Plc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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