Jack L Hertzberg in Needham - Orthodontics And Dentofacial Orthopedics
Jack L Hertzberg - NPI 1336121508
Jack L Hertzberg is a Orthodontics And Dentofacial Orthopedics in Needham, Massachusetts. Jack L Hertzberg practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jack L Hertzberg is 1336121508. The last update date is 2007-07-08.
Jack L Hertzberg's current location address is 87 Chestnut St, Needham, Massachusetts. You can contact this provider via phone number 7814446650 and fax number 7814443607. The mailing address for Jack L Hertzberg is 87 Chestnut St, Needham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Hertzberg |
|---|---|
| Address | 87 Chestnut St, Needham, Massachusetts |
| Phone Number | 7814446650 |
| Fax Number | 7814443607 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1336121508 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 87 Chestnut St |
|---|---|
| City | Needham |
| State | Massachusetts (MA) |
| Post Code | 24922578 |
| Phone Number | 7814446650 |
| Fax Number | 7814443607 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 12867 |
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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 provider identifier assigned to Jack L Hertzberg?
The Jack L Hertzberg has been issued the NPI (National Provider Identifier) 1336121508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jack L Hertzberg is located?
The Jack L Hertzberg is situated at the following address: 87 Chestnut St, Needham, MA, 24922578.
What is Jack L Hertzberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack L Hertzberg 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 issue the 1336121508 to Jack L Hertzberg?
The Jack L Hertzberg received its 1336121508 assignment from the Centers for Medicare & Medicaid Services on 2005-11-15.
When was the information regarding Jack L Hertzberg most recently updated?
The details pertaining to the Jack L Hertzberg, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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