Stacy Marie Jackson

DDS | Dentist



  
  3400 Penrose Pl Ste 107, Boulder
  Colorado, 80301-1809

  303-443-8250    Maps & Directions
Stacy Marie Jackson is a Boulder, Colorado based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stacy Marie Jackson is DEN.00202791 for Pediatric Dentistry in Colorado. Her current practice location is 3400 Penrose Pl Ste 107, Boulder. Patients can reach her at 303-443-8250.
Stacy Marie Jackson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Stacy Marie 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: Stacy Marie Jackson
Specialization: Dentist
Gender:Female
Credentials: DDS
Accepts Medicare Assignment:No
Practice Address:3400 Penrose Pl Ste 107, Boulder,
Colorado, 80301-1809
Phone:303-443-8250
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: 1043530991
NPI Enumeration Date: 02 Jun, 2010
NPI Last Update On: 26 Apr, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Marie Jackson are as mentioned below.
License NumberSpecializationStateStatus
DEN.00202791Pediatric Dentistry ColoradoPrimary
2010016174Dentistry MissouriSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 291 Maddox Lane,
Erie, Colorado
Zip: 80516
Phone Number: 785-249-2973
Patients can reach Stacy Marie Jackson at 3400 Penrose Pl Ste 107, Boulder, Colorado or can call to book an appointment on 303-443-8250. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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