David Michael Jackson in West Valley City - General Practice
David Michael Jackson - NPI 1629165170
David Michael Jackson is a General Practice in West Valley City, Utah. David Michael Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Michael Jackson is 1629165170. The last update date is 2007-07-08.
David Michael Jackson's current location address is 3550 S 5600 W, West Valley City, Utah. You can contact this provider via phone number 8019663166 and fax number 8019663179. The mailing address for David Michael Jackson is 3550 S 5600 W, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Jackson |
|---|---|
| Address | 3550 S 5600 W, West Valley City, Utah |
| Phone Number | 8019663166 |
| Fax Number | 8019663179 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629165170 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3550 S 5600 W |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841202734 |
| Phone Number | 8019663166 |
| Fax Number | 8019663179 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5138062 |
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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 10-digit identifier code assigned to David Michael Jackson by the Centers for Medicare & Medicaid Services?
The David Michael Jackson has been issued the NPI (National Provider Identifier) 1629165170 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Michael Jackson?
The David Michael Jackson is physically situated at 3550 S 5600 W, in the city of West Valley City, state of UT, with the postal code 841202734.
What is the David Michael Jackson's specialty and taxonomy code?
The David Michael Jackson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did David Michael Jackson receive its 1629165170 assignment from the Centers for Medicare & Medicaid Services?
The David Michael Jackson was assigned its 1629165170 on 2006-10-06, 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 details related to David Michael Jackson most recently updated or revised?
The information pertaining to David Michael Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
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