Andrew Spencer Jackson is a Vallejo, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Andrew Spencer Jackson is 23115 for General Practice Dentistry in California. His current practice location is 1832 Capitol St, Vallejo. Patients can reach him at 707-552-4110.
Andrew Spencer Jackson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Andrew Spencer Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Andrew Spencer Jackson
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1832 Capitol St, Vallejo, California, 94590
Phone:
707-552-4110
Fax:
707-552-6224
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1194811240
NPI Enumeration Date:
05 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Spencer Jackson are as mentioned below.
License Number
Specialization
State
Status
23115
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Andrew Spencer Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
784273
Other
UNITED CONCORDIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1832 Capitol St, Vallejo, California
Zip:
94590
Phone Number:
707-552-4110
Fax Number:
707-552-6224
Patients can reach Andrew Spencer Jackson at 1832 Capitol St, Vallejo, California or can call to book an appointment on 707-552-4110. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.