Dr. David E. Jackson DDS PC
Dentist, General Practice in Sandy, UT. Organization (NPI-2).
NPI number1881908622
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1881908622
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. David E. Jackson DDS PC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2010
- Last updated
- Aug 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 138455-9922 | UT | Yes |
Practice location
870 E 9400 SSuite #110
Sandy, UT 84094-3666
Phone 801-571-8391 · Fax 801-571-8285
Mailing address
870 E 9400 SSuite #110
Sandy, UT 84094-3666
Phone 801-571-8391 · Fax 801-571-8285
Authorized official
Karen Jackson
Office Manager
8015718391
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