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Dr. Ghassan Elias Jacklis, DMD
General Practice Dentistry in Rockville, Maryland
NPI 1659614410

Ghassan Elias Jacklis is a General Practice Dentistry based in Rockville, MD and is specialized in General Practice. Ghassan Elias Jacklis practices in Rockville, MD and has the professional credentials of DMD. The NPI Number for Ghassan Elias Jacklis is 1659614410 and holds a License No. 1001256 (Maryland).

The current practice location address for Ghassan Elias Jacklis is 11125 Rockville Pike Ste 204, Rockville, MD and can be reached out via phone at 301-888-6666.

Location: 11125 Rockville Pike Ste 204, Rockville, MD, 20852-3142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659614410
Provider Name
Ghassan Elias Jacklis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
11125 Rockville Pike Ste 204, Rockville, MD, 20852-3142
Phone Number
301-888-6666
Fax Number
Provider Enumeration Date
03/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0401413871 01 VA LICENSE
11991 01 MD LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11125 Rockville Pike Ste 204
City
Rockville
State
Maryland
Zip
20852-3142
Phone Number
301-888-6666
Fax Number
person
Provider Business Mailing Address Details
Address
11125 Rockville Pike Ste 204
City
Rockville
State
Maryland
Zip
20852-3142
Phone Number
301-888-6666
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1001256 (District of Columbia)
Definition
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.
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