Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DENNIS W. JACKSON, D.D.S.
Active Sole ProprietorDR. DENNIS W. JACKSON, D.D.S. is a Dentist healthcare provider located in EDGEWOOD, New Mexico. NPI 1881999761 is currently active in the NPPES registry. Verify at CMS.
Dentist · EDGEWOOD, NM
Registration Details
- NPI Number
- 1881999761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2011 (15.583016653927 yrs)
- Last Updated
- Jan 24, 2011
- License
-
DD2699 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
164 SQUARE H RDEDGEWOOD, NM, 870159538Browse NM providers · Browse ZIP 87015
- Phone
- 5056107885
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in EDGEWOOD, NM
| Name | Credential | NPI |
|---|---|---|
| LOUIS R BUSH | DDS | 1134103211 |
| DR. SHAMAINE SPENCER | D.D.S. | 1346556040 |
| DR. BRITTANY RENEE MCDANIEL | DDS | 1457840266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.