Matthew J Jackson in Charlestown - Oral & Maxillofacial Surgery
Matthew J Jackson - NPI 1588647911
Matthew J Jackson is a Oral & Maxillofacial Surgery in Charlestown, Massachusetts. Matthew J Jackson practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Matthew J Jackson is 1588647911. The last update date is 2007-07-08.
Matthew J Jackson's current location address is Po Box 9142, Charlestown, Massachusetts. You can contact this provider via phone number 6177240287 and fax number 6177262894. The mailing address for Matthew J Jackson is Po Box 9142, Charlestown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J Jackson |
|---|---|
| Address | Po Box 9142, Charlestown, Massachusetts |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1588647911 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9142 |
|---|---|
| City | Charlestown |
| State | Massachusetts (MA) |
| Post Code | 21299142 |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 11607 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264822 | MA | -- | |
| 40346 | MA | HARVARD PILGRIM HMO | |
| 757863 | MA | TUFTS HEALTH HMO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Matthew J Jackson by the Centers for Medicare & Medicaid Services?
The Matthew J Jackson has been assigned the NPI (National Provider Identifier) 1588647911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Matthew J Jackson is physically located?
The Matthew J Jackson is situated at the following address: Po Box 9142, Charlestown, MA 21299142.
What is Matthew J Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew J Jackson's specialized field of practice is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 204E00000X.
On what date did the Matthew J Jackson receive its 1588647911 assignment from the Centers for Medicare & Medicaid Services?
The Matthew J Jackson was assigned its 1588647911 by the Centers for Medicare & Medicaid Services on 2005-11-21.
When was the information regarding Matthew J Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Matthew J Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.