Jack Legon Dmd Pa is a Dental in Newton, New Jersey. Jack Legon Dmd Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Jack Legon Dmd Pa is 1235150335. The last update date is 2020-08-22.
Jack Legon Dmd Pa's current location address is 40 Park Pl, Newton, New Jersey. You can contact this provider via phone number 9733835700 and fax number 9733834131. The mailing address for Jack Legon Dmd Pa is 40 Park Pl, Newton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Legon Dmd Pa |
|---|---|
| Address | 40 Park Pl, Newton, New Jersey |
| Phone Number | 9733835700 |
| Fax Number | 9733834131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Legon Jack |
| Credentials | D.M.D. |
| Telephone Number | 9733835700 |
NPI Number Detail
| NPI Number | 1235150335 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 40 Park Pl |
|---|---|
| City | Newton |
| State | New Jersey (NJ) |
| Post Code | 78601747 |
| Phone Number | 9733835700 |
| Fax Number | 9733834131 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 10842 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code assigned to Jack Legon Dmd Pa by the Centers for Medicare & Medicaid Services?
The Jack Legon Dmd Pa has been issued the NPI (National Provider Identifier) 1235150335, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Legon Dmd Pa is located?
The Jack Legon Dmd Pa is situated at the following address: 40 Park Pl, Newton, NJ, 78601747.
What is Jack Legon Dmd Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Legon Dmd Pa's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date was the 1235150335 assigned to Jack Legon Dmd Pa?
The Jack Legon Dmd Pa was issued its 1235150335 on 2006-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jack Legon Dmd Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Legon Dmd Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.