Brian Joseph Jackson, D.D.S.

General Practice Dentistry · Utica, NY

Individual Active NPI

NPI number 1528132784

Practice location

2534 Genesee St
Utica, NY 13502-5814
Phone
(315) 724-5141
Fax
(315) 733-1270

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NPI record

NPI
1528132784
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 042719 NY

About Dr. Jackson

Brian Joseph 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 2534 Genesee St, Utica, NY 13502-5814. The NPI number 1528132784 was assigned on November 20, 2006 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #042719 (NY) 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 Brian Joseph Jackson, D.D.S.?

The NPI number is 1528132784.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (315) 724-5141.

Where is Dr. Jackson located?

2534 Genesee St, Utica, NY 13502-5814.

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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