Jackson, Dennis W.

Jackson, Dennis W. is an sole proprietor health care provider with primary practice located at 164 Square H Rd , Edgewood NM 87015-9538. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Dennis W. can be contacted via phone (505) 610-7885.

Contact Information

Primary practice address
164 Square H Rd Edgewood NM 87015-9538
Phone: (505) 610-7885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD2699 New Mexico

Profile Details

NPI number 1881999761
LBN Legal business name Jackson, Dennis W.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Jan 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers