ANDREW SPENCER JACKSON


Address: 1832 Capitol St, Vallejo, CA 94590
Phone: 7075524110

ANDREW SPENCER JACKSON (NPI# 1194811240) 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) 1194811240
Entity Type Individual
Full Name ANDREW SPENCER JACKSON
Credential DDS
Practice Address 1832 Capitol St
Vallejo
CA 94590
Practice Telephone 7075524110
Practice Fax Number 7075526224
Mailing Telephone 7075524110
Mailing Fax Number 7075526224
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
23115 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNITED CONCORDIA 784273 01

Other Providers ANDREW JACKSON

NPI Name Taxonomy Address Enumeration
1093279572 Andrew Jay Jackson Technician 125 County Road 4209, Jacksonville, TX 75766-5574 2019-01-29
1568591287 Andrew Lee Jackson Dentist 600 Mccranie Avenue, Willacoochie, GA 31650 2007-03-06
1245291954 Andrew Dan Jackson Chiropractor 1025 W Carolina Ave, Hartsville, SC 29550-4427 2006-03-31
1447850227 Andrew Jackson Pharmacist 3520 Hudson Dr, Stow, OH 44224-2907 2020-10-29
1528559358 Andrew Jackson Case Manager/Care Coordinator 550 W Chalmers Ave, Youngstown, OH 44511-1576 2018-05-29
1134618820 Andrew Jackson IIi Chiropractor 460 S 14th St, Midlothian, TX 76065-3514 2018-05-08
1497253835 Andrew Boyd Jackson Emergency Medicine 1459 Laney Walker Blvd, Augusta, GA 30912 2018-01-31
1285172841 Andrew Jackson General Acute Care Hospital 284 N Hospital Dr, Price, UT 84501-4233 2017-02-03
1508309055 Andrew Jackson IIi Case Manager/Care Coordinator 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 2016-11-30
1285177253 Andrew Jackson Naturopath 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 2016-11-23

Office Location

Street Address 1832 CAPITOL ST
City VALLEJO
State CA
Zip Code 94590

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
Find all providers in zip 94590

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407486988 Thomas Galapon Salacup Dmd Inc Dentist 1512 Napa St Ste B, Vallejo, CA 94590-4416 2020-01-23
1285973602 Kushwantjit Singh Randhawa Dentist 300 Hillary Way Apt 91, Vallejo, CA 94591 2013-02-05
1386954642 Nhi Xuan Huynh Dentist 3400 Sonoma Blvd., Vallejo, CA 94542-1050 2010-10-20
1972811180 Bryan Tao Le Dentist 100 Robin Ct, Vallejo, CA 94591-4120 2010-09-22
1770818031 Manuel Zabat Caro Dentist 1660 Broadway St, Vallejo, CA 94590-2405 2009-10-05
1689833865 Yusuke Suzuki Dentist 211 Cadloni Ln, B, Vallejo, CA 94591-8623 2008-06-03
1831388503 Amy Gail English Dentist 1532 Tennessee St, Vallejo, CA 94590-4627 2007-10-18
1982892048 Gigi Diem Huynh Dentist 3681 Rocky Shore Dr, Vallejo, CA 94591-8381 2007-10-13
1760672588 Clara E. Balancio, Dds, Inc. Dentist 2809 Redwood Pkwy, Vallejo, CA 94591-3634 2007-07-27
1134325145 Michael W Peterson Dentist 1319 Tennessee St, Vallejo, CA 94590 2007-06-26
Find all providers in VALLEJO

Competitor

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City VALLEJO
Zip Code 94590

Improve Information

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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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