Dr Richard K Jackson Pa

LBN: Dr Richard K Jackson Pa
Dr Richard K Jackson Pa is an health care organization with primary practice located at 326 W Boynton Beach Blvd , Boynton Beach FL 33435-4025. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr Richard K Jackson Pa can be contacted via phone (561) 737-6445, or through Jackson, Richard K via phone (561) 737-6445.

Contact Information

Primary practice address
326 W Boynton Beach Blvd Boynton Beach FL 33435-4025
Phone: (561) 737-6445
Fax: (561) 737-1524
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Richard K Doctor of Dental Surgery (DDS)
Phone: (561) 737-6445

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN12332 Florida

Profile Details

NPI number 1407127640
LBN Legal business name Dr Richard K Jackson Pa
DBA Doing business as
Authorized official Jackson, Richard K Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2012
Last updated Jan 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407127640 NPPES
Florida MEDICAID 073772100

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