Elgin Kenneth Walley in Jackson - Orthodontics And Dentofacial Orthopedics
Elgin Kenneth Walley - NPI 1922117662
Elgin Kenneth Walley is a Orthodontics And Dentofacial Orthopedics in Jackson, Mississippi. Elgin Kenneth Walley practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Elgin Kenneth Walley is 1922117662. The last update date is 2007-07-08.
Elgin Kenneth Walley's current location address is 2174 Henry Hill Drive, Jackson, Mississippi. You can contact this provider via phone number 6019223888 and fax number 6019223871. The mailing address for Elgin Kenneth Walley is 2174 Henry Hill Drive, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elgin Kenneth Walley |
|---|---|
| Address | 2174 Henry Hill Drive, Jackson, Mississippi |
| Phone Number | 6019223888 |
| Fax Number | 6019223871 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1922117662 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2174 Henry Hill Drive |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39204 |
| Phone Number | 6019223888 |
| Fax Number | 6019223871 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 1588-730R17/ |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elgin Kenneth Walley by the Centers for Medicare & Medicaid Services?
The Elgin Kenneth Walley has been issued the NPI (National Provider Identifier) 1922117662 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Elgin Kenneth Walley's facilities are situated?
The facilities of Elgin Kenneth Walley are physically located at the following address: 2174 Henry Hill Drive, Jackson, MS, 39204.
What is Elgin Kenneth Walley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elgin Kenneth Walley is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did Elgin Kenneth Walley receive its 1922117662 assignment from the Centers for Medicare & Medicaid Services?
The Elgin Kenneth Walley was assigned its 1922117662 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Elgin Kenneth Walley's details last updated?
The information pertaining to the Elgin Kenneth Walley, including its address, specialty, and other details, was most recently updated on 2007-07-08.