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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 16 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 15 years ago.

1518969633 NPI Information

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

Primary Taxonomy Code Clasification License Number License State
Y 1223G0001X Dentist, General Practice 2079-84 MS

JEFFERY DALE HARTSOG (NPI 1518969633) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1023354511 RANDY FERRELL GUY Pharmacist PO BOX 426, 201 COMMERCE ST
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1508373226 NATHAN PIERCE Physical Therapist 1711 COLLEGE AVE,
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03-Jan-2018
1417546300 SHELBY LAUREN BRADLEY Student in an Organized Health Care Education/Training Program 306 CHESLEY AVE,
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1568114718 TYLER M SMITH Chiropractor 1120 COLLEGE AVE,
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1215233564 CHRISTOPHER ALAN O'LAIRE Chiropractor 627 SARALAND BLVD S,
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03-Feb-2011
1629374889 MARK REID WARREN Physical Therapist PO BOX 37,
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07-Feb-2011
1992244206 JESSIE LOUISE CRISWELL Nurse Practitioner 227 HOSPITAL DR,
JACKSON, AL, United States
20-Feb-2017
1881348084 ANNIE BETTIS WALKER Nurse Practitioner, Family 6801 AIRPORT BLVD,
MOBILE, AL, United States
07-Feb-2022
1255671905 STEPHEN L GREER Physical Therapist 132 FOREST AVE, APPT 3C
JACKSON, AL, United States
18-Feb-2013
1215176912 TONYA BEECH Registered Nurse 1506 COLLEGE AVE,
JACKSON, AL, United States
19-Feb-2009
1790954733 GILLIARD HEALTH SERVICES Home Health 220 HOSPITAL DR,
JACKSON, AL, United States
25-Feb-2008
1871094300 KRISTIN FORD ANDERSON Physical Therapist 1711 COLLEGE AVE,
JACKSON, AL, United States
21-Feb-2018
1275703597 ROBIN LEE MYERS Physical Therapist, Orthopedic PO BOX 37,
JACKSON, AL, United States
03-Mar-2008
1992774392 PREMIER HEALTH MANAGEMENT, INC. Eyewear Supplier (Equipment, not the service) 1206 COLLEGE AVE,
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16-Mar-2006
1154079234 JALLENA ROBERTS Pharmacist 25 HILL DR,
JACKSON, AL, United States
16-Mar-2022
1538128095 JACKSON HEALTH CARE FACILITY, LLC Nursing Facility/Intermediate Care Facility 501 WHETSTONE ST,
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1952427874 JACKSON MEDICAL CENTER, LLC General Acute Care Hospital, Rural 220 HOSPITAL DR,
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22-Mar-2007
1558487397 JACKSON MEDICAL CENTER, LLC Medicare Defined Swing Bed Unit 220 HOSPITAL DR,
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22-Mar-2007
1891180089 JACKSON MEDICAL CENTER, LLC Clinic/Center, Rural Health PO BOX 250,
GROVE HILL, AL, United States
03-Apr-2015
1558756437 AMBER RANKINS Student in an Organized Health Care Education/Training Program 813 COLLEGE AVE,
JACKSON, AL, United States
30-Mar-2015

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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