Elbert E Jackson, Dds, Pc in Madison - Orthodontics And Dentofacial Orthopedics
Elbert E Jackson, Dds, Pc - NPI 1871652172
Elbert E Jackson, Dds, Pc is a Orthodontics And Dentofacial Orthopedics in Madison, Tennessee. Elbert E Jackson, Dds, Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Elbert E Jackson, Dds, Pc is 1871652172. The last update date is 2020-08-22.
Elbert E Jackson, Dds, Pc's current location address is 200 Gleaves St, Madison, Tennessee. You can contact this provider via phone number 6158591881 and fax number 6158657723. The mailing address for Elbert E Jackson, Dds, Pc is 200 Gleaves St, Madison, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elbert E Jackson, Dds, Pc |
|---|---|
| Address | 200 Gleaves St, Madison, Tennessee |
| Phone Number | 6158591881 |
| Fax Number | 6158657723 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson E Elbert |
| Credentials | DDS |
| Telephone Number | 6158591881 |
NPI Number Detail
| NPI Number | 1871652172 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 200 Gleaves St |
|---|---|
| City | Madison |
| State | Tennessee (TN) |
| Post Code | 371152154 |
| Phone Number | 6158591881 |
| Fax Number | 6158657723 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DS2474 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Elbert E Jackson, Dds, Pc by the Centers for Medicare & Medicaid Services?
The Elbert E Jackson, Dds, Pc has been assigned the NPI (National Provider Identifier) 1871652172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Elbert E Jackson, Dds, Pc's facilities are situated?
The facilities of Elbert E Jackson, Dds, Pc are physically located at the following address: 200 Gleaves St, Madison, TN, 371152154.
What is Elbert E Jackson, Dds, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elbert E Jackson, Dds, Pc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did Elbert E Jackson, Dds, Pc receive its 1871652172 assignment from the Centers for Medicare & Medicaid Services?
The Elbert E Jackson, Dds, Pc was assigned its 1871652172 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Elbert E Jackson, Dds, Pc's details last updated?
The information pertaining to the Elbert E Jackson, Dds, Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.