Philip Conrad Jaynes in Columbia - Orthodontics And Dentofacial Orthopedics
Philip Conrad Jaynes - NPI 1659376168
Philip Conrad Jaynes is a Orthodontics And Dentofacial Orthopedics in Columbia, Missouri. Philip Conrad Jaynes practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Philip Conrad Jaynes is 1659376168. The last update date is 2007-07-08.
Philip Conrad Jaynes's current location address is 1502 E Broadway, Columbia, Missouri. You can contact this provider via phone number 5734437230 and fax number 5732568720. The mailing address for Philip Conrad Jaynes is 1502 E Broadway, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Conrad Jaynes |
|---|---|
| Address | 1502 E Broadway, Columbia, Missouri |
| Phone Number | 5734437230 |
| Fax Number | 5732568720 |
| Sole Proprietor | X |
| Credentials | DDS,MS |
NPI Number Detail
| NPI Number | 1659376168 |
|---|---|
| Provider Enumeration Date | 2005-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1502 E Broadway |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 6520180760 |
| Phone Number | 5734437230 |
| Fax Number | 5732568720 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 11954 |
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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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What is the unique 10-digit identification code assigned to Philip Conrad Jaynes by the Centers for Medicare & Medicaid Services?
The Philip Conrad Jaynes has been issued the NPI (National Provider Identifier) 1659376168, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Philip Conrad Jaynes's physical address?
The Philip Conrad Jaynes is physically located at 1502 E Broadway, in the city of Columbia, MO, with the postal code 6520180760.
What is the Philip Conrad Jaynes's area of specialization and corresponding taxonomy classification?
The Philip Conrad Jaynes's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
As of what date were the Philip Conrad Jaynes's details last updated?
The information pertaining to the Philip Conrad Jaynes, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to Philip Conrad Jaynes most recently updated or revised?
The information pertaining to Philip Conrad Jaynes, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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