Darrell G. Jackson, D.D.S.

General Practice Dentistry · Alamosa, CO

Individual Active NPI

NPI number 1093707663

Practice location

2405 Mullins Ave
Alamosa, CO 81101-4260
Phone
(719) 589-5272
Fax
(719) 589-5300

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NPI record

NPI
1093707663
Entity type
Individual (Type 1)
Enumeration date
August 18, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8293 CO

About Dr. Jackson

Darrell G. Jackson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2405 Mullins Ave, Alamosa, CO 81101-4260. The NPI number 1093707663 was assigned on August 18, 2005 and the record was last updated on July 13, 2026.

Dr. Jackson lists a license in the registry: #8293 (CO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Darrell G. Jackson, D.D.S.?

The NPI number is 1093707663.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (719) 589-5272.

Where is Dr. Jackson located?

2405 Mullins Ave, Alamosa, CO 81101-4260.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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