Bruce Alexander Jack in Albuquerque - General Practice
Bruce Alexander Jack - NPI 1891816476
Bruce Alexander Jack is a General Practice in Albuquerque, New Mexico. Bruce Alexander Jack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Alexander Jack is 1891816476. The last update date is 2007-07-08.
Bruce Alexander Jack's current location address is 7416 Sulky Dr Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5057303355. The mailing address for Bruce Alexander Jack is 7416 Sulky Dr Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Alexander Jack |
|---|---|
| Address | 7416 Sulky Dr Ne, Albuquerque, New Mexico |
| Phone Number | 5057303355 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891816476 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7416 Sulky Dr Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871096804 |
| Phone Number | 5057303355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1441 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Bruce Alexander Jack by the Centers for Medicare & Medicaid Services?
The Bruce Alexander Jack has been assigned the NPI (National Provider Identifier) 1891816476. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bruce Alexander Jack's physical address?
The Bruce Alexander Jack is physically located at 7416 Sulky Dr Ne, in the city of Albuquerque, NM, with the postal code 871096804.
What is Bruce Alexander Jack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce Alexander Jack's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Bruce Alexander Jack's 1891816476 issued?
The Bruce Alexander Jack's 1891816476 was issued on 2007-04-02.
As of what date was the information regarding Bruce Alexander Jack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Alexander Jack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.