William Keith Duncan in Jackson - Pediatric Dentistry
William Keith Duncan - NPI 1790719169
William Keith Duncan is a Pediatric Dentistry in Jackson, Mississippi. William Keith Duncan practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for William Keith Duncan is 1790719169. The last update date is 2007-07-09.
William Keith Duncan's current location address is 2500 N. State St, Jackson, Mississippi. You can contact this provider via phone number 6019846100 and fax number 6019846103. The mailing address for William Keith Duncan is 2500 N. State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Keith Duncan |
|---|---|
| Address | 2500 N. State St, Jackson, Mississippi |
| Phone Number | 6019846100 |
| Fax Number | 6019846103 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790719169 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2500 N. State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846100 |
| Fax Number | 6019846103 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2174-85 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60104 | MS | -- |
Post Comment/ Review Below
What is the William Keith Duncan's unique identification number?
The William Keith Duncan has been assigned the NPI (National Provider Identifier) Number 1790719169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the William Keith Duncan's physical address?
The William Keith Duncan is physically located at 2500 N. State St, in the city of Jackson, MS, with the postal code 392164500.
What is the William Keith Duncan's area of specialization and corresponding taxonomy classification?
The William Keith Duncan's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date was the 1790719169 assigned to William Keith Duncan?
The William Keith Duncan was issued its 1790719169 on 2006-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding William Keith Duncan most recently updated?
The details pertaining to the William Keith Duncan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY