Jackson, Jr., Charles B

Jackson, Jr., Charles B is an individual health care provider with primary practice located at 669 Union Sq , Sandy UT 84070-3404. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Jackson, Jr., Charles B can be contacted via phone (801) 571-1231.

Contact Information

Primary practice address
669 Union Sq Sandy UT 84070-3404
Phone: (801) 571-1231
Fax: (801) 571-9738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 142729-9921 Utah

Profile Details

NPI number 1972563690
LBN Legal business name Jackson, Jr., Charles B
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 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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