David Michael Jackson, DDS
NPI #1629165170 in West Valley City, Utah
Provider Information
- NPI Number
- 1629165170
- Entity Type
- Individual
- Name
- David Michael Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3550 S 5600 W
- Address 2
- SUITE 3
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-2776
- Phone
- (801) 966-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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