Individual
ANDREW SPENCER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1832 CAPITOL ST, VALLEJO, CA 94590
(707) 552-4110
(707) 552-6224
Mailing address
1832 CAPITOL ST, VALLEJO, CA 94590
(707) 552-4110
(707) 552-6224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
784273
UNITED CONCORDIA
—
Enumeration date
10/05/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us