Darrell Jackson in Alamosa - General Practice
Darrell Jackson - NPI 1588657795
Darrell Jackson is a General Practice in Alamosa, Colorado. Darrell Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Darrell Jackson is 1588657795. The last update date is 2008-08-19.
Darrell Jackson's current location address is 2405 Mullins Ave, Alamosa, Colorado. You can contact this provider via phone number 7195895272 and fax number 7195895300. The mailing address for Darrell Jackson is 2405 Mullins Ave, Alamosa, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Darrell Jackson |
|---|---|
| Address | 2405 Mullins Ave, Alamosa, Colorado |
| Phone Number | 7195895272 |
| Fax Number | 7195895300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson Gilbert Darrell |
| Credentials | D.D.S. |
| Telephone Number | 7195895272 |
NPI Number Detail
| NPI Number | 1588657795 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 2405 Mullins Ave |
|---|---|
| City | Alamosa |
| State | Colorado (CO) |
| Post Code | 81101 |
| Phone Number | 7195895272 |
| Fax Number | 7195895300 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8293 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8230064 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Darrell Jackson by the Centers for Medicare & Medicaid Services?
The Darrell Jackson has been issued the NPI (National Provider Identifier) 1588657795. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Darrell Jackson is geographically located?
The Darrell Jackson is physically situated at the following location: 2405 Mullins Ave, Alamosa, CO, 81101.
What is the area of specialization for Darrell Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Darrell Jackson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588657795 to Darrell Jackson?
The Darrell Jackson received its 1588657795 assignment from the Centers for Medicare & Medicaid Services on 2005-08-24.
As of what date were the details pertaining to Darrell Jackson last refreshed?
The information related to the Darrell Jackson, including its address, specialty, and other relevant details, was last updated on 2008-08-19.