DAVID MICHAEL JACKSON (NPI# 1629165170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629165170 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL JACKSON |
| Credential | DDS |
| Practice Address |
3550 S 5600 W Suite 3 West Valley City UT 84120-2776 |
| Mailing Address |
3550 S 5600 W Suite 3 West Valley City UT 84120-2734 |
| Practice Telephone | 8019663166 |
| Practice Fax Number | 8019663179 |
| Mailing Telephone | 8019663166 |
| Mailing Fax Number | 8019663179 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5138062 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1366544322 | David Max Jackson | Speech-Language Pathologist | 81 Peregrine Ct, W Lafayette, IN 47906-5073 | 2006-09-01 |
| Street Address |
3550 S 5600 W SUITE 3 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279764 | James Spencer Gruber | Dentist | 1819 W 3500 S Ste 1a, West Valley City, UT 84119-3457 | 2019-05-07 |
| 1720572548 | Stonehaven Dental - West Valley LLC | Dentist | 4577 S 4000 W Ste B, West Valley City, UT 84120-6222 | 2018-06-15 |
| 1316468010 | Mingi Chung | Dentist | 1264 W Village Main Dr Unit B, West Valley City, UT 84119-1952 | 2017-07-03 |
| 1255778247 | Laura A. Fisher | Dentist | 3451 S 5600 W Ste B, West Valley City, UT 84120-1301 | 2013-05-30 |
| 1821229261 | Josef A Benzon | Dentist | 6608 Kings Estate Dr, West Valley City, UT 84128-4225 | 2009-08-03 |
| 1740416379 | Jose A Hernandez-gil | Dentist | 4577 S 4000 W, West Valley City, UT 84120-6222 | 2009-06-10 |
| 1033312806 | Brent L Baker | Dentist | 2854 W 4700 S, Suite C, West Valley City, UT 84118-2102 | 2007-06-07 |
| 1750502175 | Danny Le | Dentist | 4066 S 4000 W, West Valley City, UT 84120-4040 | 2007-05-02 |
| 1669691945 | West 56th Dental Associates, Inc | Dentist | 3444 S 5600 W, West Valley City, UT 84120-1320 | 2007-04-24 |
| 1093933269 | Steven Huntsman | Dentist | 2630 W 3500 S Ste C, West Valley City, UT 84119-3113 | 2007-04-23 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on DAVID MICHAEL JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.