Albert L. Jackson Dds in Chicago - Dental

Albert L. Jackson Dds - NPI 1043489875

Albert L. Jackson Dds is a Dental in Chicago, Illinois. Albert L. Jackson Dds practices all healthcare services and medical treatments related to Dental. The NPI Number for Albert L. Jackson Dds is 1043489875. The last update date is 2008-02-26.

Albert L. Jackson Dds's current location address is 30 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3123681600 and fax number 3123681542. The mailing address for Albert L. Jackson Dds is 30 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Albert L. Jackson Dds
Address 30 N Michigan Ave, Chicago, Illinois
Phone Number 3123681600
Fax Number 3123681542
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST /O
Authorized Official Name Jackson L Albert
Credentials DDS
Telephone Number 3123681600

NPI Number Detail

NPI Number 1043489875
Provider Enumeration Date 2008-02-26
Last Updated Date 2008-02-26

Provider Mailing Address Detail

Address 30 N Michigan Ave
City Chicago
State Illinois (IL)
Post Code 606023402
Phone Number 3123681600
Fax Number 3123681542

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 19011493
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Albert L. Jackson Dds

What is the unique 10-digit identifier code issued to Albert L. Jackson Dds by the Centers for Medicare & Medicaid Services?

The Albert L. Jackson Dds has been assigned the NPI (National Provider Identifier) 1043489875 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Albert L. Jackson Dds's physical address?

The Albert L. Jackson Dds is physically located at 30 N Michigan Ave, in the city of Chicago, IL, with the postal code 606023402.

What is Albert L. Jackson Dds's area of expertise and its corresponding taxonomy classification?

The Albert L. Jackson Dds's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Albert L. Jackson Dds receive the assignment of its 1043489875 from the Centers for Medicare & Medicaid Services?

The Albert L. Jackson Dds was issued its 1043489875 by the Centers for Medicare & Medicaid Services on 2008-02-26.

As of what date were the details pertaining to Albert L. Jackson Dds last refreshed?

The information related to the Albert L. Jackson Dds, including its address, specialty, and other relevant details, was last updated on 2008-02-26.

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