Jack B Duclos in Anchorage - Orthodontics And Dentofacial Orthopedics
Jack B Duclos - NPI 1518187210
Jack B Duclos is a Orthodontics And Dentofacial Orthopedics in Anchorage, Alaska. Jack B Duclos practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jack B Duclos is 1518187210. The last update date is 2007-07-08.
Jack B Duclos's current location address is 1836 W Northern Lights Blvd, Anchorage, Alaska. You can contact this provider via phone number 9072723200. The mailing address for Jack B Duclos is 1836 W Northern Lights Blvd, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack B Duclos |
|---|---|
| Address | 1836 W Northern Lights Blvd, Anchorage, Alaska |
| Phone Number | 9072723200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S, M.S |
NPI Number Detail
| NPI Number | 1518187210 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1836 W Northern Lights Blvd |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995173342 |
| Phone Number | 9072723200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 871 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD0871 | AK | -- |
Post Comment/ Review Below
What is the Jack B Duclos's unique identification number?
The Jack B Duclos has been assigned the NPI (National Provider Identifier) Number 1518187210 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jack B Duclos?
The Jack B Duclos is situated at 1836 W Northern Lights Blvd, in the city of Anchorage, state of AK, with the zip code 995173342.
What is the Jack B Duclos's area of specialization and corresponding taxonomy classification?
The Jack B Duclos's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
When did the Jack B Duclos receive its 1518187210?
The Jack B Duclos was issued its 1518187210 on 2007-04-26, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jack B Duclos most recently updated or revised?
The details related to Jack B Duclos, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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