Individual provider · Type 1 NPI
Jack Fredrick Backs, DMD
General Practice Dentistry · Hermann, MO
NPI number
1104046556
Active
Practice location
154 State Route 100 W
Hermann, MO 65041-1526
Fax (573) 486-3166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DE 015082 (MO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1104046556
Jack Fredrick Backs, DMD's National Provider Identifier is 1104046556, issued on Apr 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hermann, MO. The record was last updated on Jul 8, 2007.