John Andrew Jackson in San Antonio - Oral And Maxillofacial Surgery
John Andrew Jackson - NPI 1720162779
John Andrew Jackson is a Oral And Maxillofacial Surgery in San Antonio, Texas. John Andrew Jackson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Andrew Jackson is 1720162779. The last update date is 2007-07-09.
John Andrew Jackson's current location address is 600 Division Ave, San Antonio, Texas. You can contact this provider via phone number 2109244279 and fax number 2109244270. The mailing address for John Andrew Jackson is 600 Division Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Andrew Jackson |
|---|---|
| Address | 600 Division Ave, San Antonio, Texas |
| Phone Number | 2109244279 |
| Fax Number | 2109244270 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1720162779 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 600 Division Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782141350 |
| Phone Number | 2109244279 |
| Fax Number | 2109244270 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D14522 |
|
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 |
|---|---|---|---|
| 1306300-05 | TX | -- | |
| 784161 | TX | UNITED CONCORDIA | |
| 742713545 | TX | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Andrew Jackson by the Centers for Medicare & Medicaid Services?
The John Andrew Jackson has been assigned the NPI (National Provider Identifier) 1720162779 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John Andrew Jackson is located?
The John Andrew Jackson is situated at the following address: 600 Division Ave, San Antonio, TX, 782141350.
What is the John Andrew Jackson's area of specialization and corresponding taxonomy classification?
The John Andrew Jackson's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date was the 1720162779 assigned to John Andrew Jackson?
The John Andrew Jackson was issued its 1720162779 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Andrew Jackson last refreshed?
The information related to the John Andrew Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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