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Dr. Darrell G. Jackson, DDS
General Practice Dentistry in Alamosa, Colorado
NPI 1093707663

Darrell G. Jackson is a General Practice Dentistry based in Alamosa, CO and is specialized in General Practice. Darrell G. Jackson practices in Alamosa, CO and has the professional credentials of DDS. The NPI Number for Darrell G. Jackson is 1093707663 and holds a License No. 8293 (Colorado).

The current practice location address for Darrell G. Jackson is 2405 Mullins Ave, Alamosa, CO and can be reached out via phone at 719-589-5272 and via fax at 719-589-5300.

Location: 2405 Mullins Ave, Alamosa, CO, 81101-4260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093707663
Provider Name
Darrell G. Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2405 Mullins Ave, Alamosa, CO, 81101-4260
Phone Number
719-589-5272
Fax Number
719-589-5300
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01518266 01 CO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2405 Mullins Ave
City
Alamosa
State
Colorado
Zip
81101-4260
Phone Number
719-589-5272
Fax Number
719-589-5300
person
Provider Business Mailing Address Details
Address
2405 Mullins Ave
City
Alamosa
State
Colorado
Zip
81101-4260
Phone Number
719-589-5272
Fax Number
719-589-5300
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8293 (Colorado)
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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