DR. DAVID EDWARD JACKSON (NPI# 1750331773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750331773 |
| Entity Type | Individual |
| Full Name | DR. DAVID EDWARD JACKSON |
| Credential | DDS |
| Practice Address |
870 E 9400 S #110 Sandy UT 84094-3666 |
| Mailing Address |
4327 Hidden Quail Cir Holladay UT 84124-3600 |
| Practice Telephone | 8015718391 |
| Practice Fax Number | 8015718285 |
| Mailing Telephone | 8012789898 |
| Mailing Fax Number | 8015718285 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 138455-9922 | 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 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
870 E 9400 S #110 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225327281 | Devin T Matsumori | Dentist | 870 E 9400 S, Sandy, UT 84094-3666 | 2011-03-30 |
| 1881908622 | Dr. David E. Jackson Dds PC | Dentist | 870 E 9400 S, Suite #110, Sandy, UT 84094-3666 | 2010-08-04 |
| 1225341142 | Danni Miller | Occupational Therapist | 870 E 9400 S, 112, Sandy, UT 84094-3666 | 2010-07-20 |
| 1366670176 | Jonathan Swinton | Marriage & Family Therapist | 870 E 9400 S, Ste 104, Sandy, UT 84094-3666 | 2009-06-30 |
| 1982847109 | Vern Medical Trust | Exclusive Provider Organization | 870 E 9400 S, Suite 104, Sandy, UT 84094-3666 | 2009-04-17 |
| 1962529008 | Quantum Injury and Pain Clinic LLC | Massage Therapist | 870 E 9400 S, Suite 100, Sandy, UT 84094-3666 | 2007-03-23 |
| 1043305071 | Bernard J Simbari | Specialist | 870 E 9400 S, Suite 109, Sandy, UT 84094-3666 | 2006-10-04 |
| 1912006412 | Paul W Saxton | Neuromusculoskeletal Medicine, Sports Medicine | 870 E 9400 S, Suite 104, Sandy, UT 84094-3666 | 2006-09-21 |
| 1871500033 | Nathan Eric Chandler | Dentist | 870 E 9400 S, Ste 101, Sandy, UT 84094 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587629 | William J Ellingson Dmd Pllc | Dentist | 850 E 9400 S Ste 100, Sandy, UT 84094-3674 | 2018-02-06 |
| 1831611961 | Rem Dds, LLC | Dentist | 7370 S Creek Rd Ste 104, Sandy, UT 84093-6107 | 2017-07-11 |
| 1114301603 | Tyler James Hicks | Dentist | 9008 S Schofield Cir, Sandy, UT 84093-5801 | 2015-07-14 |
| 1700279197 | Russell G. Lewis | Dentist | 1434 E. 9400 S. Ste 201, Sandy, UT 84093 | 2015-03-10 |
| 1841680741 | Amie Patel | Dentist | 9425 S Riverside Dr, Apt 1024, Sandy, UT 84070 | 2015-01-29 |
| 1154737427 | Sandy Shores Pediatric Dentistry | Dentist | 1434 E. 9400 S. #205, Sandy, UT 84092 | 2014-07-08 |
| 1225470909 | Central Fossa LLC | Dentist | 7369 Creek Road, Sandy, UT 84121 | 2013-07-23 |
| 1346681244 | Miranda Okubo | Dentist | 7369 S Creek Rd, Sandy, UT 84093-6154 | 2013-07-09 |
| 1639514896 | Parker Shiffler | Dentist | 7390 S Creek Rd Ste 101, Sandy, UT 84093-6121 | 2013-05-01 |
| 1629329719 | Creek Road Dental | Dentist | 7369 E Creek Rd, Sandy, UT 84093-6154 | 2012-09-28 |
| Find all providers in SANDY | ||||
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| 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.