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JACKSON DENTAL LLC
NPI 1104119601
Dentist - General Practice in Layton, UT

Active since May 17, 2011
1868 N 400 W STE 110, LAYTON, UT 84041(801) 774-8198(801) 774-8191 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON DENTAL LLC (NPI 1104119601) is a healthcare organization registered as a general practice in Layton, Utah and active in the NPI registry since May 2011. The organization lists Brett R Jackson, Member, as its authorized official.

NPPES Registry Identity

NPI1104119601
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACKSON DENTAL LLC
Location Address1868 N 400 W STE 110Layton, UT 84041-2191
Mailing Address1868 N 400 W Ste 110Layton, UT 84041-2191 · (801) 774-8198 · Fax (801) 774-8191
Phone(801) 774-8198
Fax(801) 774-8191
Organization SubpartNo
Authorized OfficialBrett R JacksonMember · (801) 774-8198
Enumeration DateMay 17, 2011
✔ NPI 1104119601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 6593716-9922
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.
1868 N 400 W STE 110, Layton, UT 84041
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Dental LLC's NPI number?

The NPI number for Jackson Dental LLC is 1104119601. It was assigned to this organization in the NPPES registry on May 17, 2011.

Where is Jackson Dental LLC located?

Jackson Dental LLC is located at 1868 N 400 W Ste 110, Layton, UT 84041. The listed phone number is (801) 774-8198.

What is Jackson Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jackson Dental LLC was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.