JEFFERY DALE HARTSOG DMD, NPI 1518969633
Dentist in JACKSON, MS
Last Updated on : Jul 08,2007
About JEFFERY DALE HARTSOG (NPI 1518969633)
JEFFERY DALE HARTSOG is a Dentist provider in JACKSON, United States. His medical specialization is Dentist with a focus in General Practice.
1518969633 is NPI number of JEFFERY DALE HARTSOG.
JEFFERY DALE HARTSOG's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 2079-84. This taxonomy code refers to Dentist.
JEFFERY DALE HARTSOG has more than 17 years of experience.
JEFFERY DALE HARTSOG current practice location address is 1437 OLD SQUARE RD, JACKSON, MS. JEFFERY DALE HARTSOG can be reached out via phone at 601-362-1685 and via fax at 601-982-9304 .
You can also correspond with JEFFERY DALE HARTSOG through mail at mailing address 1437 OLD SQUARE RD, JACKSON, MS, United States. Mailing address contact number is 601-362-1685.
The enumeration date of JEFFERY DALE HARTSOG is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1518969633 NPI Information
Basic NPI information of JEFFERY DALE HARTSOG (NPI 1518969633) is provided below.
| Name | JEFFERY DALE HARTSOG |
|---|---|
| National Provider Id (NPI) | 1518969633 |
| Entity Type | Individual |
| Gender | M |
| Credential | DMD |
| Practice Address | 1437 OLD SQUARE RD,
JACKSON, MS, United States |
| Practice Telephone | 601-362-1685 |
| Practice Fax Number | 601-982-9304 |
| Mailing Address | 1437 OLD SQUARE RD ,
JACKSON, MS, United States |
| Mailing Telephone | 601-362-1685 |
| Mailing Fax Number | 601-982-9304 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 08-Jul-2007 |
JEFFERY DALE HARTSOG (NPI 1518969633) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | Dentist, General Practice | 2079-84 | MS |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
JEFFERY DALE HARTSOG (NPI 1518969633) Office Location
Office location of JEFFERY DALE HARTSOG is provided in the Google maps below.Providers in same location
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|---|---|---|---|---|
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| 1144732736 | 4JS LLC | Registered Nurse, Registered Nurse First Assistant | PO BOX 9871,
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| 1083671895 | A & A HEALTH SYSTEMS, INC | Clinic/Center | 5440 WATKINS DR,
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| 1760921225 | A BEAUTIFUL MIND LLC | Nurse Practitioner, Psych/Mental Health | 144 OLD ORCHARD RD,
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| 1154562775 | A CENTER FOR COUNSELING, LLC | Social Worker, Clinical | 2427 SPRING ARBOR RD STE 1AND2,
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11-Mar-2009 |
| 1184080426 | A FOCUSED BRAIN LLC | Clinic/Center, Rehabilitation | 4345 MEADOWRIDGE DR,
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31-Dec-2015 |
| 1841596806 | A FRANCINE TRYKA MD PC | Clinical Medical Laboratory | PO BOX 3789,
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08-Feb-2011 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1518969633?1518969633 is the NPI number of JEFFERY DALE HARTSOG.
What is the specialty for JEFFERY DALE HARTSOG?The Specialty of JEFFERY DALE HARTSOG is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|