Ralph Dudley Jackson in Alexandria - Orthodontics And Dentofacial Orthopedics
Ralph Dudley Jackson - NPI 1104817154
Ralph Dudley Jackson is a Orthodontics And Dentofacial Orthopedics in Alexandria, Louisiana. Ralph Dudley Jackson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ralph Dudley Jackson is 1104817154. The last update date is 2007-07-08.
Ralph Dudley Jackson's current location address is 1400 Metro Dr, Alexandria, Louisiana. You can contact this provider via phone number 3184870075 and fax number 3184870958. The mailing address for Ralph Dudley Jackson is 1400 Metro Dr, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ralph Dudley Jackson |
|---|---|
| Address | 1400 Metro Dr, Alexandria, Louisiana |
| Phone Number | 3184870075 |
| Fax Number | 3184870958 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104817154 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Metro Dr |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 713013451 |
| Phone Number | 3184870075 |
| Fax Number | 3184870958 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 5337 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code issued to Ralph Dudley Jackson by the Centers for Medicare & Medicaid Services?
The Ralph Dudley Jackson has been assigned the NPI (National Provider Identifier) 1104817154 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ralph Dudley Jackson?
The Ralph Dudley Jackson is physically situated at 1400 Metro Dr, in the city of Alexandria, state of LA, with the postal code 713013451.
What is the area of specialization for Ralph Dudley Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ralph Dudley Jackson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
When was the Ralph Dudley Jackson's 1104817154 issued?
The Ralph Dudley Jackson's 1104817154 was issued on 2005-10-31.
When was the information regarding Ralph Dudley Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ralph Dudley Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1306831318
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