Jackie Dale Nanny in Beaufort - Periodontics
Jackie Dale Nanny - NPI 1518950534
Jackie Dale Nanny is a Periodontics in Beaufort, South Carolina. Jackie Dale Nanny practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jackie Dale Nanny is 1518950534. The last update date is 2007-09-14.
Jackie Dale Nanny's current location address is 188 Nicaragua St, Beaufort, South Carolina. You can contact this provider via phone number 8432283500. The mailing address for Jackie Dale Nanny is 188 Nicaragua St, Beaufort, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Dale Nanny |
|---|---|
| Address | 188 Nicaragua St, Beaufort, South Carolina |
| Phone Number | 8432283500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1518950534 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-09-14 |
Provider Mailing Address Detail
| Address | 188 Nicaragua St |
|---|---|
| City | Beaufort |
| State | South Carolina (SC) |
| Post Code | 299027552 |
| Phone Number | 8432283500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN 8903 |
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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 identifier code issued to Jackie Dale Nanny by the Centers for Medicare & Medicaid Services (CMS)?
The Jackie Dale Nanny has been assigned the NPI (National Provider Identifier) 1518950534. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jackie Dale Nanny is geographically located?
The Jackie Dale Nanny is physically situated at the following location: 188 Nicaragua St, Beaufort, SC, 299027552.
What is Jackie Dale Nanny's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackie Dale Nanny is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When was the Jackie Dale Nanny's 1518950534 issued?
The Jackie Dale Nanny's 1518950534 was issued on 2005-08-24.
When was the information pertaining to Jackie Dale Nanny most recently updated or revised?
The details related to Jackie Dale Nanny, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-14.