Dr Keven Peter Jackson, DDS PC is a
Dentist based in Cambria Heights, New York. Dr Keven Peter Jackson is licensed to practice in New York (license number 040675) and his current practice location is
22516 Linden Blvd, Cambria Heights, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 978-0226.
NPI number for Dr Keven Peter Jackson is 1932294006 and his current mailing address is 22516 Linden Blvd, Cambria Heights, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932294006.
Healthcare Provider's Profile
Full Name | Dr Keven Peter Jackson |
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Gender | Male |
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Speciality | Dentist |
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Location | 22516 Linden Blvd, Cambria Heights, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932294006
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Keven Peter Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932294006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 040675 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keven Peter Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Keven Peter Jackson, DDS PC 22516 Linden Blvd, Cambria Heights, NY 11411 Ph: (718) 978-0226 | Dr Keven Peter Jackson, DDS PC 22516 Linden Blvd, Cambria Heights, NY 11411 Ph: (718) 978-0226 |
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