Jerome Tabacca is a Periodontics in Columbus, Ohio. Jerome Tabacca practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jerome Tabacca is 1942202163. The last update date is 2007-07-08.
Jerome Tabacca's current location address is 1707 Bethel Rd, Columbus, Ohio. You can contact this provider via phone number 6144590050 and fax number 6144591955. The mailing address for Jerome Tabacca is 1707 Bethel Rd, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Tabacca |
|---|---|
| Address | 1707 Bethel Rd, Columbus, Ohio |
| Phone Number | 6144590050 |
| Fax Number | 6144591955 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1942202163 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1707 Bethel Rd |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 4322018100 |
| Phone Number | 6144590050 |
| Fax Number | 6144591955 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | OH14335 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 432538 | WV | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerome Tabacca by the Centers for Medicare & Medicaid Services?
The Jerome Tabacca has been issued the NPI (National Provider Identifier) 1942202163 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 Jerome Tabacca?
The Jerome Tabacca is physically situated at 1707 Bethel Rd, in the city of Columbus, state of OH, with the postal code 4322018100.
What is Jerome Tabacca's area of expertise and its corresponding taxonomy classification?
The Jerome Tabacca's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1942202163 to Jerome Tabacca?
The Jerome Tabacca received its 1942202163 assignment from the Centers for Medicare & Medicaid Services on 2005-06-01.
When was the information regarding Jerome Tabacca most recently updated?
The details pertaining to the Jerome Tabacca, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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