Jonathan Brian Jackson, DDS

General Practice Dentistry · Monrovia, CA

Individual Active NPI

NPI number 1659659621

Practice location

422 1/2 Violet Ave
Monrovia, CA 91016-6731
Phone
(951) 551-8686

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NPI record

NPI
1659659621
Entity type
Individual (Type 1)
Enumeration date
July 25, 2011
Last updated
July 25, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 60538 CA

About Dr. Jackson

Jonathan Brian Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 422 1/2 Violet Ave, Monrovia, CA 91016-6731. The NPI number 1659659621 was assigned on July 25, 2011 and the record was last updated on July 25, 2011.

Dr. Jackson lists a license in the registry: #60538 (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 Jonathan Brian Jackson, DDS?

The NPI number is 1659659621.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (951) 551-8686.

Where is Dr. Jackson located?

422 1/2 Violet Ave, Monrovia, CA 91016-6731.

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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