DR. David Edward Jackson, DDS

NPI #1750331773 in Sandy, Utah

Provider Information

NPI Number: 1750331773
Entity Type: Individual
Name: DR. David Edward Jackson, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 870 E 9400 S
Address 2: #110
City: Sandy
State: Utah
ZIP Code: 84094-3666
Phone: (801) 571-8391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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