Jaklin Bezik is a Periodontics in Fairfax, Virginia. Jaklin Bezik practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jaklin Bezik is 1356480552. The last update date is 2007-07-08.
Jaklin Bezik's current location address is 11150 Fairfax Blvd, Fairfax, Virginia. You can contact this provider via phone number 7039344474 and fax number 7039344705. The mailing address for Jaklin Bezik is 11150 Fairfax Blvd, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaklin Bezik |
|---|---|
| Address | 11150 Fairfax Blvd, Fairfax, Virginia |
| Phone Number | 7039344474 |
| Fax Number | 7039344705 |
| Sole Proprietor | N |
| Credentials | D.D.S., M |
NPI Number Detail
| NPI Number | 1356480552 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11150 Fairfax Blvd |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220305066 |
| Phone Number | 7039344474 |
| Fax Number | 7039344705 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 401410580 |
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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 assigned to Jaklin Bezik by the Centers for Medicare & Medicaid Services?
The Jaklin Bezik has been issued the NPI (National Provider Identifier) 1356480552 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jaklin Bezik?
The Jaklin Bezik is situated at 11150 Fairfax Blvd, in the city of Fairfax, state of VA, with the zip code 220305066.
What is the Jaklin Bezik's area of specialization and corresponding taxonomy classification?
The Jaklin Bezik's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did Jaklin Bezik receive its 1356480552 assignment?
The Jaklin Bezik was assigned its 1356480552 on 2007-02-05, which is the date when this unique identifier was issued to the organization.
When was the information related to Jaklin Bezik most recently updated or refreshed?
The details pertaining to the Jaklin Bezik, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.