Dr Robert Charles Jackson Ii, DDS is a
Dentist based in Earlville, New York. Dr Robert Charles Jackson Ii is licensed to practice in New York (license number 038574) and his current practice location is
59 N Main St, Earlville, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 691-6502.
NPI number for Dr Robert Charles Jackson Ii is 1598989030 and his current mailing address is Po Box 360, 59 N Main St, Earlville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598989030.
Healthcare Provider's Profile
Full Name | Dr Robert Charles Jackson Ii |
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Gender | Male |
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Speciality | Dentist |
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Location | 59 N Main St, Earlville, 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: 1598989030
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert Charles Jackson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598989030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 038574 (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 Robert Charles Jackson Ii 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 Robert Charles Jackson Ii, DDS Po Box 360, 59 N Main St, Earlville, NY 13332 Ph: (315) 691-6502 | Dr Robert Charles Jackson Ii, DDS 59 N Main St, Earlville, NY 13332 Ph: (315) 691-6502 |
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