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Andrew Spencer Jackson, DDS
General Practice Dentistry in Vallejo, California
NPI 1194811240

Andrew Spencer Jackson is a General Practice Dentistry based in Vallejo, CA and is specialized in General Practice. Andrew Spencer Jackson practices in Vallejo, CA and has the professional credentials of DDS. The NPI Number for Andrew Spencer Jackson is 1194811240 and holds a License No. 23115 (California).

The current practice location address for Andrew Spencer Jackson is 1832 Capitol St, Vallejo, CA and can be reached out via phone at 707-552-4110 and via fax at 707-552-6224.

Location: 1832 Capitol St, Vallejo, CA, 94590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194811240
Provider Name
Andrew Spencer Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1832 Capitol St, Vallejo, CA, 94590
Phone Number
707-552-4110
Fax Number
707-552-6224
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
784273 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1832 Capitol St
City
Vallejo
State
California
Zip
94590
Phone Number
707-552-4110
Fax Number
707-552-6224
person
Provider Business Mailing Address Details
Address
1832 Capitol St
City
Vallejo
State
California
Zip
94590
Phone Number
707-552-4110
Fax Number
707-552-6224
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
23115 (California)
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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