Jack Issac Krajekian in Charleston - Oral And Maxillofacial Surgery
Jack Issac Krajekian - NPI 1790768562
Jack Issac Krajekian is a Oral And Maxillofacial Surgery in Charleston, . Jack Issac Krajekian practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jack Issac Krajekian is 1790768562. The last update date is 2007-07-08.
Jack Issac Krajekian's current location address is 1215 Virginia St E, Charleston, . You can contact this provider via phone number 3043451092 and fax number 3043451095. The mailing address for Jack Issac Krajekian is 1215 Virginia St E, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Issac Krajekian |
|---|---|
| Address | 1215 Virginia St E, Charleston, |
| Phone Number | 3043451092 |
| Fax Number | 3043451095 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1790768562 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1215 Virginia St E |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253012908 |
| Phone Number | 3043451092 |
| Fax Number | 3043451095 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3542 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4002152000 | WV | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Issac Krajekian?
The Jack Issac Krajekian has been issued the NPI (National Provider Identifier) 1790768562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Issac Krajekian's facilities are situated?
The facilities of Jack Issac Krajekian are physically located at the following address: 1215 Virginia St E, Charleston, WV, 253012908.
What is Jack Issac Krajekian's area of expertise and its corresponding taxonomy classification?
The Jack Issac Krajekian's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1790768562 to Jack Issac Krajekian?
The Jack Issac Krajekian received its 1790768562 assignment from the Centers for Medicare & Medicaid Services on 2005-11-25.
As of what date were the details related to Jack Issac Krajekian most recently updated or revised?
The information pertaining to Jack Issac Krajekian, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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