Stacy M. Jackson, DDS
Pediatric Dentistry · Boulder, CO
UnclaimedDDSNPI 1043530991
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2010-06-02
- Practice location
- Boulder, CO
- Last NPPES update
- 2023-04-26
State licenses
- CO · Dentist · NPPES self-reportedListed on NPI record
- MO · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.