Philip Rodney Jackson in Columbia - General Practice
Philip Rodney Jackson - NPI 1790963916
Philip Rodney Jackson is a General Practice in Columbia, South Carolina. Philip Rodney Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Philip Rodney Jackson is 1790963916. The last update date is 2022-09-30.
Philip Rodney Jackson's current location address is 857 Shore View Dr, Columbia, South Carolina. You can contact this provider via phone number 8036095216. The mailing address for Philip Rodney Jackson is 857 Shore View Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Rodney Jackson |
|---|---|
| Address | 857 Shore View Dr, Columbia, South Carolina |
| Phone Number | 8036095216 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1790963916 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2022-09-30 |
Provider Mailing Address Detail
| Address | 857 Shore View Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292128365 |
| Phone Number | 8036095216 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2416 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Philip Rodney Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Philip Rodney Jackson has been assigned the NPI (National Provider Identifier) 1790963916. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Philip Rodney Jackson's facilities are geographically located?
The facilities of Philip Rodney Jackson are physically situated at the following location: 857 Shore View Dr, Columbia, SC, 292128365.
What is Philip Rodney Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Philip Rodney Jackson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Philip Rodney Jackson receive the assignment of its 1790963916 from the Centers for Medicare & Medicaid Services?
The Philip Rodney Jackson was issued its 1790963916 by the Centers for Medicare & Medicaid Services on 2008-02-11.
As of what date were the Philip Rodney Jackson's details last updated?
The information pertaining to the Philip Rodney Jackson, including its address, specialty, and other details, was most recently updated on 2022-09-30.