Janice Gibson Jackson in Birmingham - Pediatric Dentistry
Janice Gibson Jackson - NPI 1174699946
Janice Gibson Jackson is a Pediatric Dentistry in Birmingham, Alabama. Janice Gibson Jackson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Janice Gibson Jackson is 1174699946. The last update date is 2018-10-05.
Janice Gibson Jackson's current location address is 1600 7th Ave S, Birmingham, Alabama. You can contact this provider via phone number 2059395174 and fax number 2059399796. The mailing address for Janice Gibson Jackson is 1600 7th Ave S, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janice Gibson Jackson |
|---|---|
| Address | 1600 7th Ave S, Birmingham, Alabama |
| Phone Number | 2059395174 |
| Fax Number | 2059399796 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1174699946 |
|---|---|
| Provider Enumeration Date | 2006-11-25 |
| Last Updated Date | 2018-10-05 |
Provider Mailing Address Detail
| Address | 1600 7th Ave S |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352331711 |
| Phone Number | 2059395174 |
| Fax Number | 2059399796 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3255 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 219143 | AL | -- | |
| 9935520 | AL | -- | |
| 9936105 | AL | -- | |
| 9962890 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Janice Gibson Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Janice Gibson Jackson has been assigned the NPI (National Provider Identifier) 1174699946. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Janice Gibson Jackson is located?
The Janice Gibson Jackson is situated at the following address: 1600 7Th Ave S, Birmingham, AL, 352331711.
What is the area of specialization for Janice Gibson Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Janice Gibson Jackson is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date was the 1174699946 assigned to Janice Gibson Jackson?
The Janice Gibson Jackson was issued its 1174699946 on 2006-11-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Janice Gibson Jackson most recently updated or revised?
The details related to Janice Gibson Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-05.
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