Organization
DR. DAVID E. JACKSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JACKSON (OFFICE MANAGER)
(801) 571-8391
Entity
Organization
Contact information
Practice address
870 E 9400 S, SUITE #110, SANDY, UT 84094-3666
(801) 571-8391
(801) 571-8285
Mailing address
870 E 9400 S, SUITE #110, SANDY, UT 84094-3666
(801) 571-8391
(801) 571-8285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
138455-9922
UT
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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