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Stacy Marie Jackson, DDS
Pediatric Dentist in Boulder, Colorado
NPI 1043530991

Stacy Marie Jackson is a Pediatric Dentist based in Erie, CO and is specialized in Pediatric Dentistry. Stacy Marie Jackson practices in Boulder, CO and has the professional credentials of DDS. The NPI Number for Stacy Marie Jackson is 1043530991 and holds a License No. 2010016174 (Colorado).

The current practice location address for Stacy Marie Jackson is 3400 Penrose Pl Ste 107, Boulder, CO and can be reached out via phone at 303-443-8250. You can also correspond with Stacy Marie Jackson through the mailing address at 291 MADDOX LANE, ERIE, CO - 80516 (mailing address contact number: 785-249-2973).

Location: 3400 Penrose Pl Ste 107, Boulder, CO, 80516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043530991
Provider Name
Stacy Marie Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3400 Penrose Pl Ste 107, Boulder, CO, 80516
Phone Number
303-443-8250
Fax Number
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Penrose Pl Ste 107
City
Boulder
State
Colorado
Zip
80301-1809
Phone Number
303-443-8250
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Penrose Pl Ste 107
City
Boulder
State
Colorado
Zip
80301-1809
Phone Number
303-443-8250
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DEN.00202791 (Colorado)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2010016174 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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