Jackson ENT Clinic , PSC
Jackson ENT Clinic , PSC is an Oral & Maxillofacial Surgery (D.M.D.) in Jackson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.
- Licensed in
- KY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1550 Highway 15 S Ste 29Jackson, KY 41339-9221
Phone: (606) 666-9909
Fax: (606) 666-9982
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 36227 (KY) |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence 36227 (KY) |
Record details
| NPI number | 1831225465 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tariq Sartawi — Owner · (606) 666-9909 |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | November 14, 2008 |
| Mailing address | Po Box 768, Jackson, KY 41339-0768 |