Cottonwood Dental Center

LBN: Darrell Jackson
Cottonwood Dental Center is an health care organization with primary practice located at 2405 Mullins Ave , Alamosa CO 81101. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Darrell Jackson can be contacted via phone (719) 589-5272, or through Jackson, Darrell Gilbert via phone (719) 589-5272.

Contact Information

Primary practice address
2405 Mullins Ave Alamosa CO 81101
Phone: (719) 589-5272
Fax: (719) 589-5300
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Darrell Gilbert Doctor of Dental Surgery (DDS)
Phone: (719) 589-5272

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8293 Colorado

Profile Details

NPI number 1588657795
LBN Legal business name Darrell Jackson
DBA Doing business as Cottonwood Dental Center
Authorized official Jackson, Darrell Gilbert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588657795 NPPES
Colorado MEDICAID 08230064

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