Melody Lyn Jackson in Spring Valley - Dental Hygienist
Melody Lyn Jackson - NPI 1861605339
Melody Lyn Jackson is a Dental Hygienist in Spring Valley, California. Melody Lyn Jackson practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Melody Lyn Jackson is 1861605339. The last update date is 2007-07-08.
Melody Lyn Jackson's current location address is 630 Broadview St, Spring Valley, California. You can contact this provider via phone number 6192463491 and fax number 6194346288. The mailing address for Melody Lyn Jackson is 630 Broadview St, Spring Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melody Lyn Jackson |
|---|---|
| Address | 630 Broadview St, Spring Valley, California |
| Phone Number | 6192463491 |
| Fax Number | 6194346288 |
| Sole Proprietor | Y |
| Credentials | RDHAP |
NPI Number Detail
| NPI Number | 1861605339 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 630 Broadview St |
|---|---|
| City | Spring Valley |
| State | California (CA) |
| Post Code | 919775522 |
| Phone Number | 6192463491 |
| Fax Number | 6194346288 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identification code issued to Melody Lyn Jackson by the Centers for Medicare & Medicaid Services?
The Melody Lyn Jackson has been assigned the NPI (National Provider Identifier) 1861605339 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Melody Lyn Jackson's facilities are geographically located?
The facilities of Melody Lyn Jackson are physically situated at the following location: 630 Broadview St, Spring Valley, CA, 919775522.
What is Melody Lyn Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melody Lyn Jackson is Dental Hygienist, and the corresponding taxonomy classification code for this specialized field is 124Q00000X.
When was the Melody Lyn Jackson's 1861605339 issued?
The Melody Lyn Jackson's 1861605339 was issued on 2007-05-08.
When was the information related to Melody Lyn Jackson most recently updated or refreshed?
The details pertaining to the Melody Lyn Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC