Darrell Jackson

General Practice Dentistry · Alamosa, CO

Organization Active NPI

NPI number 1588657795

Practice location

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

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NPI record

NPI
1588657795
Entity type
Organization (Type 2)
Enumeration date
August 24, 2005
Last updated
August 19, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8293 CO

Authorized official

Name
Dr. Darrell Gilbert Jackson, D.D.S.
Title
Owner
Phone
(719) 589-5272

Other names

  • Cottonwood Dental Center

About Darrell Jackson

Darrell Jackson is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2405 Mullins Ave, Alamosa, CO 81101. The NPI number 1588657795 was assigned on August 24, 2005 and the record was last updated on August 19, 2008.

Darrell 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.

The authorized official for this organization is Dr. Darrell Gilbert Jackson, D.D.S., Owner.

Frequently asked questions

What is the NPI number of Darrell Jackson?

The NPI number is 1588657795.

What is the phone number of Darrell Jackson?

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

Where is Darrell Jackson located?

2405 Mullins Ave, Alamosa, CO 81101.

What is the taxonomy code for Darrell 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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