JACKSON DENTAL LLC NPI 1104119601

NPI Information

JACKSON DENTAL LLC is a general practice dentist in Layton, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JACKSON DENTAL LLC NPI is 1104119601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1868 N 400 W STE 110
LAYTON, UT
ZIP 84041-191
Phone: (801) 774-8198
Fax: (801) 774-8191

The provider's authorized official is Brett R Jackson .
The authorized official title is Member and has the following contact phone number (801) 774-8198.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 5/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.