Jack B Thigpen in Tampa - Oral And Maxillofacial Surgery

Jack B Thigpen - NPI 1134394869

Jack B Thigpen is a Oral And Maxillofacial Surgery in Tampa, Florida. Jack B Thigpen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jack B Thigpen is 1134394869. The last update date is 2008-09-17.

Jack B Thigpen's current location address is 611 S Dakota Ave, Tampa, Florida. You can contact this provider via phone number 8636702849. The mailing address for Jack B Thigpen is 611 S Dakota Ave, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack B Thigpen
Address 611 S Dakota Ave, Tampa, Florida
Phone Number 8636702849
Fax Number
Sole Proprietor N
Credentials D.M.D

NPI Number Detail

NPI Number 1134394869
Provider Enumeration Date 2008-04-23
Last Updated Date 2008-09-17

Provider Mailing Address Detail

Address 611 S Dakota Ave
City Tampa
State Florida (FL)
Post Code 336062503
Phone Number 8636702849
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DN 16908
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Jack B Thigpen

What is the unique provider identifier assigned to Jack B Thigpen?

The Jack B Thigpen has been issued the NPI (National Provider Identifier) 1134394869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jack B Thigpen?

The Jack B Thigpen is physically situated at 611 S Dakota Ave, in the city of Tampa, state of FL, with the postal code 336062503.

What is Jack B Thigpen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jack B Thigpen is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Jack B Thigpen receive the assignment of its 1134394869 from the Centers for Medicare & Medicaid Services?

The Jack B Thigpen was issued its 1134394869 by the Centers for Medicare & Medicaid Services on 2008-04-23.

When was the information pertaining to Jack B Thigpen most recently updated or revised?

The details related to Jack B Thigpen, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-17.

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