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DENNIS M JACKSON MD INC NPI 1194969220


NPI Information

NPI: 1194969220
Provider Name: DENNIS M JACKSON MD INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
460 SAINT MICHAELS DR
#1005
SANTA FE, NM
ZIP 87505
Phone: (505) 490-9738
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DENNIS M JACKSON MD INC is a family medicine in Santa Fe, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DENNIS M JACKSON MD INC NPI is 1194969220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

460 SAINT MICHAELS DR
#1005
SANTA FE, NM
ZIP 87505-619
Phone: (505) 490-9738

The provider's authorized official is Dennis M Jackson .
The authorized official title is President and has the following contact phone number (505) 490-9738.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine70142NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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