Dennis W. Jacks, M.D.

Urology Physician · Pine Bluff, AR

Individual Active NPI

NPI number 1013909316

Practice location

1609 W 40TH Ave
Ste 301
Pine Bluff, AR 71603-6329
Phone
(870) 536-5162
Fax
(870) 536-5198

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NPI record

NPI
1013909316
Entity type
Individual (Type 1)
Enumeration date
August 22, 2005
Last updated
November 3, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X C5724 AR

About Dr. Jacks

Dennis W. Jacks, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 1609 W 40TH Ave, Ste 301, Pine Bluff, AR 71603-6329. The NPI number 1013909316 was assigned on August 22, 2005 and the record was last updated on November 3, 2016.

Dr. Jacks lists a license in the registry: #C5724 (AR) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dennis W. Jacks, M.D.?

The NPI number is 1013909316.

What is the phone number of Dr. Jacks?

The phone number listed for the practice location is (870) 536-5162.

Where is Dr. Jacks located?

1609 W 40TH Ave, Ste 301, Pine Bluff, AR 71603-6329.

What is the taxonomy code for Dr. Jacks?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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