ANDREW SPENCER JACKSON DDS
NPI 1194811240
Dentist - General Practice in Vallejo, CA

Q: What is Andrew Jackson's NPI number?

The NPI number for Andrew Jackson is 1194811240. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Andrew Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 05, 2006

1832 CAPITOL ST, VALLEJO, CA 94590(707) 552-4110(707) 552-6224 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrew Spencer Jackson Dds NPPES

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

ANDREW SPENCER JACKSON DDS (NPI 1194811240) is an individual general practice provider in Vallejo, California, licensed in California (23115) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1194811240

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameANDREW SPENCER JACKSONCredential: DDS

Location Address1832 CAPITOL STVallejo, CA 94590

Mailing Address1832 Capitol StVallejo, CA 94590 · (707) 552-4110 · Fax (707) 552-6224

Phone(707) 552-4110

Fax(707) 552-6224

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194811240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 23115

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.

1832 CAPITOL ST, Vallejo, CA 94590

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Other Identifiers 1

Other784273United Concordia

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 Andrew Jackson's NPI number?

The NPI number for Andrew Jackson is 1194811240. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Andrew Jackson located?

Andrew Jackson practices at 1832 Capitol St, Vallejo, CA 94590. The listed phone number is (707) 552-4110.

What is Andrew Jackson'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 Andrew Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.