Jack Darrell Bledsoe in Burke - Orthodontics And Dentofacial Orthopedics
Jack Darrell Bledsoe - NPI 1568595023
Jack Darrell Bledsoe is a Orthodontics And Dentofacial Orthopedics in Burke, Virginia. Jack Darrell Bledsoe practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jack Darrell Bledsoe is 1568595023. The last update date is 2007-07-08.
Jack Darrell Bledsoe's current location address is 9004 Fern Park Dr # A, Burke, Virginia. You can contact this provider via phone number 7039780940 and fax number 7039780941. The mailing address for Jack Darrell Bledsoe is 9004 Fern Park Dr # A, Burke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Darrell Bledsoe |
|---|---|
| Address | 9004 Fern Park Dr # A, Burke, Virginia |
| Phone Number | 7039780940 |
| Fax Number | 7039780941 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568595023 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9004 Fern Park Dr # A |
|---|---|
| City | Burke |
| State | Virginia (VA) |
| Post Code | 220151655 |
| Phone Number | 7039780940 |
| Fax Number | 7039780941 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 401003077 |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Darrell Bledsoe?
The Jack Darrell Bledsoe has been issued the NPI (National Provider Identifier) 1568595023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Darrell Bledsoe's facilities are geographically located?
The facilities of Jack Darrell Bledsoe are physically situated at the following location: 9004 Fern Park Dr # A, Burke, VA, 220151655.
What is Jack Darrell Bledsoe's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Darrell Bledsoe is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568595023 to Jack Darrell Bledsoe?
The Centers for Medicare & Medicaid Services assigned the 1568595023 to Jack Darrell Bledsoe on 2007-03-14.
When was the information regarding Jack Darrell Bledsoe most recently updated?
The details pertaining to the Jack Darrell Bledsoe, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY