Jack Fredrick Backs, D.M.D.
General Practice Dentistry · Hermann, MO
Practice location
154 State Route 100 WHermann, MO 65041-1526
- Phone
- (573) 486-3500
- Fax
- (573) 486-3166
NPI record
- NPI
- 1104046556
- Entity type
- Individual (Type 1)
- Enumeration date
- April 26, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DE 015082 | MO |
About Dr. Backs
Jack Fredrick Backs, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 154 State Route 100 W, Hermann, MO 65041-1526. The NPI number 1104046556 was assigned on April 26, 2007 and the record was last updated on July 8, 2007.
Dr. Backs lists a license in the registry: #DE 015082 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Fredrick Backs, D.M.D.?
The NPI number is 1104046556.
What is the phone number of Dr. Backs?
The phone number listed for the practice location is (573) 486-3500.
Where is Dr. Backs located?
154 State Route 100 W, Hermann, MO 65041-1526.
What is the taxonomy code for Dr. Backs?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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.