Marion Jackson Edge in Louisville - Prosthodontics
Marion Jackson Edge - NPI 1295837284
Marion Jackson Edge is a Prosthodontics in Louisville, Kentucky. Marion Jackson Edge practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Marion Jackson Edge is 1295837284. The last update date is 2007-07-08.
Marion Jackson Edge's current location address is University Of Louisville School Of Dentistry, Louisville, Kentucky. You can contact this provider via phone number 5028525128 and fax number 5028527163. The mailing address for Marion Jackson Edge is University Of Louisville School Of Dentistry, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marion Jackson Edge |
|---|---|
| Address | University Of Louisville School Of Dentistry, Louisville, Kentucky |
| Phone Number | 5028525128 |
| Fax Number | 5028527163 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1295837284 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | University Of Louisville School Of Dentistry |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402920001 |
| Phone Number | 5028525128 |
| Fax Number | 5028527163 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 3956 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9181733 | KY | DORAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Marion Jackson Edge by the Centers for Medicare & Medicaid Services?
The Marion Jackson Edge has been assigned the NPI (National Provider Identifier) 1295837284 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marion Jackson Edge?
The Marion Jackson Edge is physically situated at University Of Louisville School Of Dentistry, in the city of Louisville, state of KY, with the postal code 402920001.
What is the Marion Jackson Edge's area of specialization and corresponding taxonomy classification?
The Marion Jackson Edge's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did the Marion Jackson Edge receive its 1295837284 assignment from the Centers for Medicare & Medicaid Services?
The Marion Jackson Edge was assigned its 1295837284 by the Centers for Medicare & Medicaid Services on 2006-09-01.
As of what date was the information pertaining to Marion Jackson Edge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marion Jackson Edge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.