Rodney Allen Jackson in Lexington - Pediatric Dentistry
Rodney Allen Jackson - NPI 1205931599
Rodney Allen Jackson is a Pediatric Dentistry in Lexington, Kentucky. Rodney Allen Jackson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Rodney Allen Jackson is 1205931599. The last update date is 2007-07-08.
Rodney Allen Jackson's current location address is 2517 Sir Barton Way Ste 200, Lexington, Kentucky. You can contact this provider via phone number 8595432456 and fax number 8595432373. The mailing address for Rodney Allen Jackson is 2517 Sir Barton Way Ste 200, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Allen Jackson |
|---|---|
| Address | 2517 Sir Barton Way Ste 200, Lexington, Kentucky |
| Phone Number | 8595432456 |
| Fax Number | 8595432373 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1205931599 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2517 Sir Barton Way Ste 200 |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405092275 |
| Phone Number | 8595432456 |
| Fax Number | 8595432373 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7750 |
|
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 |
|---|---|---|---|
| 60002201 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Rodney Allen Jackson by the Centers for Medicare & Medicaid Services?
The Rodney Allen Jackson has been assigned the NPI (National Provider Identifier) 1205931599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Rodney Allen Jackson?
The Rodney Allen Jackson is physically situated at 2517 Sir Barton Way Ste 200, in the city of Lexington, state of KY, with the postal code 405092275.
What is Rodney Allen Jackson's area of expertise and its corresponding taxonomy classification?
The Rodney Allen Jackson's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did Rodney Allen Jackson receive its 1205931599 assignment from the Centers for Medicare & Medicaid Services?
The Rodney Allen Jackson was assigned its 1205931599 on 2006-09-13, 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 pertaining to Rodney Allen Jackson last refreshed?
The information related to the Rodney Allen Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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