DR. CHARLES B JACKSON, JR.


Address: 669 Union Sq, Sandy, UT 84070-3404
Phone: 8015711231

DR. CHARLES B JACKSON, JR. (NPI# 1972563690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972563690
Entity Type Individual
Full Name DR. CHARLES B JACKSON, JR.
Credential DDS, MSD
Practice Address 669 Union Sq
Sandy
UT 84070-3404
Practice Telephone 8015711231
Practice Fax Number 8015719738
Mailing Telephone 8015711231
Mailing Fax Number 8015719738
Enumeration Date 2006-03-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
142729-9921 UT Dental Providers

Office Location

Street Address 669 UNION SQ
City SANDY
State UT
Zip Code 84070-3404

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1245840552 Kirandeep Kaur Psychologist 9678 700 E # 102, Sandy, UT 84070 2020-08-03
1740890961 Elizabeth Lowe Madsen Counselor 9678 700 East Suite 102, Sandy, UT 84070 2020-08-03
1417597188 Hayley Burr Counselor 8706 700 E, Suite 205, Sandy, UT 84070 2020-01-10
1821656422 Karen Ritchie Counselor 9192 South 300 West, Sandy, UT 84070 2019-05-30
1679068159 Derek Livingston Counselor 11075 State St #35, Sandy, UT 84070 2018-06-27
1891283735 Alta Rx LLC. Pharmacy 9883 South 500 West, Sandy, UT 84070 2018-04-26
1790273704 The Addiction Medicine Physicians Group, LLC Registered Nurse 9160 S 300 E. Ste 25, Sandy, UT 84070 2018-04-25
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063063105 Abundant Dental Care, P.C. Dentist 641 W 9000 S Ste 2, Sandy, UT 84070-2580 2019-09-20
1538513700 Apex Orthodontics, LLC Dentist 641 W 9000 S, Suite 2, Sandy, UT 84070-2580 2016-04-14
1639323017 E. Terry Chipian Dentist 9495 S 700 E, Sandy, UT 84070-3459 2008-11-11
1710130844 Jeffrey Alan Iverson Dentist 850 E 9400 S Ste 201, Sandy, UT 84094-4118 2008-11-03
1124225107 Chipians Pllc Dentist 9495 South 700 East, Sandy, UT 84070 2007-07-02
1356477699 Tony Lynn Skanchy Dentist 10220 S 1300 E, Sandy, UT 84094-4077 2007-02-23
1265520795 Erik H. Madsen Dentist 10315 S 1300 E, Sandy, UT 84094-4681 2006-10-10
1346345899 Scott G Vincent Dentist 1030 E 11400 S Ste B, Sandy, UT 84094-6902 2006-09-13
1003812116 Gary Anthony Carter Dentist 10011 Centennial Pkwy, Ste 240, Sandy, UT 84070-4156 2005-06-23
1912274051 Creek Road Orthodontics and Pediatric Dentistry Dentist 7410 Creek Rd, Suite #200, Sandy, UT 84093-6140 2011-11-17
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Competitor

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City SANDY
Zip Code 84070

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Dataset Information

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.

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