Jack P Devereux in Slidell - Orthodontics And Dentofacial Orthopedics
Jack P Devereux - NPI 1376620906
Jack P Devereux is a Orthodontics And Dentofacial Orthopedics in Slidell, Louisiana. Jack P Devereux practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jack P Devereux is 1376620906. The last update date is 2007-07-08.
Jack P Devereux's current location address is 2330 E. Gause Blvd., Slidell, Louisiana. You can contact this provider via phone number 9856411115 and fax number 9856418589. The mailing address for Jack P Devereux is 2330 E. Gause Blvd., Slidell, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack P Devereux |
|---|---|
| Address | 2330 E. Gause Blvd., Slidell, Louisiana |
| Phone Number | 9856411115 |
| Fax Number | 9856418589 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1376620906 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2330 E. Gause Blvd. |
|---|---|
| City | Slidell |
| State | Louisiana (LA) |
| Post Code | 704614141 |
| Phone Number | 9856411115 |
| Fax Number | 9856418589 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3676 |
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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 identification code assigned to Jack P Devereux by the Centers for Medicare & Medicaid Services?
The Jack P Devereux has been issued the NPI (National Provider Identifier) 1376620906. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack P Devereux located?
The Jack P Devereux is located at 2330 E. Gause Blvd., Slidell, LA 704614141.
What is Jack P Devereux's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack P Devereux is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376620906 to Jack P Devereux?
The Centers for Medicare & Medicaid Services assigned the 1376620906 to Jack P Devereux on 2006-11-01.
When was the Jack P Devereux's information last updated?
The Jack P Devereux's information was last updated on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT