Dennis W. Jackson, D.D.S.

Dentist · Edgewood, NM

Individual Active NPI

NPI number 1881999761

Practice location

164 Square H Rd
Edgewood, NM 87015-9538
Phone
(505) 610-7885

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NPI record

NPI
1881999761
Entity type
Individual (Type 1)
Enumeration date
January 24, 2011
Last updated
January 24, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DD2699 NM

About Dr. Jackson

Dennis W. Jackson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 164 Square H Rd, Edgewood, NM 87015-9538. The NPI number 1881999761 was assigned on January 24, 2011 and the record was last updated on January 24, 2011.

Dr. Jackson lists a license in the registry: #DD2699 (NM) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dennis W. Jackson, D.D.S.?

The NPI number is 1881999761.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (505) 610-7885.

Where is Dr. Jackson located?

164 Square H Rd, Edgewood, NM 87015-9538.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 122300000X – Dentist.

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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