Dolphus Carl Jackson in Spring Hill - Oral And Maxillofacial Surgery
Dolphus Carl Jackson - NPI 1467511642
Dolphus Carl Jackson is a Oral And Maxillofacial Surgery in Spring Hill, Tennessee. Dolphus Carl Jackson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Dolphus Carl Jackson is 1467511642. The last update date is 2018-05-01.
Dolphus Carl Jackson's current location address is 3098 Campbell Station Pkwy Ste 102, Spring Hill, Tennessee. You can contact this provider via phone number 6153028471 and fax number 6153028081. The mailing address for Dolphus Carl Jackson is 3098 Campbell Station Pkwy Ste 102, Spring Hill, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dolphus Carl Jackson |
|---|---|
| Address | 3098 Campbell Station Pkwy Ste 102, Spring Hill, Tennessee |
| Phone Number | 6153028471 |
| Fax Number | 6153028081 |
| Sole Proprietor | Y |
| Credentials | D.D.S., P. |
NPI Number Detail
| NPI Number | 1467511642 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2018-05-01 |
Provider Mailing Address Detail
| Address | 3098 Campbell Station Pkwy Ste 102 |
|---|---|
| City | Spring Hill |
| State | Tennessee (TN) |
| Post Code | 371746201 |
| Phone Number | 6153028471 |
| Fax Number | 6153028081 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS0000008035 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4105175 | TN | BCBS OF TENNESSEE | |
| 15802 | TN | ASSURANT EMPLOYEE BNFTS | |
| 4105175 | TN | TENNCARE SELECT | |
| 281433 | TN | CIGNA DMO DENTAL PLAN | |
| 9176594 | TN | DORAL USA | |
| 3731118 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dolphus Carl Jackson by the Centers for Medicare & Medicaid Services?
The Dolphus Carl Jackson has been assigned the NPI (National Provider Identifier) 1467511642 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dolphus Carl Jackson is geographically located?
The Dolphus Carl Jackson is physically situated at the following location: 3098 Campbell Station Pkwy Ste 102, Spring Hill, TN, 371746201.
What is Dolphus Carl Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dolphus Carl Jackson is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When was the Dolphus Carl Jackson's 1467511642 issued?
The Dolphus Carl Jackson's 1467511642 was issued on 2006-12-06.
When was the information regarding Dolphus Carl Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dolphus Carl Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-05-01.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN