DAVID JACKSON, DDS
Dentist - General Practice
Active
Individual
NPI: 1629165170
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 5138062 (UT) |
Frequently Asked Questions
NPI 1629165170 is the National Provider Identifier for DAVID JACKSON, DDS, a Dentist - General Practice provider located in West Valley City, UT. This NPI was enumerated on October 6, 2006.
DAVID JACKSON, DDS practices at 3550 S 5600 W, SUITE 3, West Valley City, UT 84120.
Quick Facts
- NPI
- 1629165170
- Type
- Individual
- Enumerated
- Oct 6, 2006
- Last Updated
- Jul 8, 2007
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