Cary V. Jackson, D.D.S.

General Practice Dentistry · Council Bluffs, IA

Individual Active NPI

NPI number 1578729224

Practice location

2612 W Broadway
Council Bluffs, IA 51501-3510
Phone
(712) 323-3615
Fax
(712) 325-6155

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NPI record

NPI
1578729224
Entity type
Individual (Type 1)
Enumeration date
August 1, 2008
Last updated
October 29, 2024
Certified
October 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 08576 IA

About Dr. Jackson

Cary V. 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 2612 W Broadway, Council Bluffs, IA 51501-3510. The NPI number 1578729224 was assigned on August 1, 2008 and the record was last updated on October 29, 2024.

Dr. Jackson lists a license in the registry: #08576 (IA) 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 Cary V. Jackson, D.D.S.?

The NPI number is 1578729224.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (712) 323-3615.

Where is Dr. Jackson located?

2612 W Broadway, Council Bluffs, IA 51501-3510.

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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