Jackson, David Michael
Jackson, David Michael is an sole proprietor health care provider with primary practice located at 3550 S 5600 W Suite 3, West Valley City UT 84120-2776. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, David Michael can be contacted via phone (801) 966-3166.Contact Information
Primary practice address
3550 S 5600 W Suite 3
West Valley City UT 84120-2776
Phone: (801) 966-3166
Fax: (801) 966-3179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5138062 | Utah |
Profile Details
| NPI number | 1629165170 |
|---|---|
| LBN Legal business name | Jackson, David Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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