Stacy Marie Jackson, DDS
NPI #1043530991 in Boulder, Colorado
Provider Information
- NPI Number
- 1043530991
- Entity Type
- Individual
- Name
- Stacy Marie Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Jun 2, 2010
- Last Updated
- Apr 26, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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