Andrew Spencer Jackson, DDS

General Practice Dentistry · Vallejo, CA

Individual Active NPI

NPI number 1194811240

Practice location

1832 Capitol St
Vallejo, CA 94590
Phone
(707) 552-4110
Fax
(707) 552-6224

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NPI record

NPI
1194811240
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 23115 CA

About Dr. Jackson

Andrew Spencer Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1832 Capitol St, Vallejo, CA 94590. The NPI number 1194811240 was assigned on October 5, 2006 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #23115 (CA) 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 Andrew Spencer Jackson, DDS?

The NPI number is 1194811240.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (707) 552-4110.

Where is Dr. Jackson located?

1832 Capitol St, Vallejo, CA 94590.

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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