Darrell G. Jackson D.D.S.

NPI 1093707663 - Dentist - 1223G0001X

NPI Details
NPI 1093707663
Gender Male
Enumeration Date 08/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2405 MULLINS AVE
ALAMOSA CO, 81101-4260, US
Phone (719) 589-5272
Fax (719) 589-5300
Business Location
2405 MULLINS AVE
ALAMOSA CO, 81101-4260, US
Phone (719) 589-5272
Fax (719) 589-5300
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 8293
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According to our database, Dr. Darrell G. Jackson D.D.S. NPI is 1093707663, taxonomy code is 1223G0001X and license number is 8293, license state is located at Colorado. Darrell G. Jackson D.D.S. physically located at 2405 Mullins Ave, Alamosa CO, 81101-4260. NPI Number Darrell G. Jackson D.D.S. has the Individual type.

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1093707663 NPI number is provided on an as is basis without warranty of any kind. 1093707663 is maintained by the National Plan & Provider Enumeration System. The contents of Darrell G. Jackson D.D.S. are for informational purposes only.