Jackson, Jonathan D

Jackson, Jonathan D is an individual health care provider with primary practice located at 335 E 400 S , Springville UT 84663-1959. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Jonathan D can be contacted via phone (801) 489-4411.

Contact Information

Primary practice address
335 E 400 S Springville UT 84663-1959
Phone: (801) 489-4411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7025515-9921 Utah

Profile Details

NPI number 1891954566
LBN Legal business name Jackson, Jonathan D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Jul 23rd, 2008 - about 17 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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