Charles Jackson, Jr., DDS, MSD

NPI: 1972563690

Charles Jackson, Jr., DDS, MSD

Q: What is Charles Jackson, Jr.'s NPI number?

Charles Jackson, Jr.'s NPI number is 1972563690, a unique 10-digit identifier issued by CMS.

Q: What does Charles Jackson, Jr. specialize in?

Charles Jackson, Jr. specializes in Dentistry, taxonomy code 1223X0400X.

Q: Where does Charles Jackson, Jr. practice?

Charles Jackson, Jr. practices in Sandy, UT 84070-3404.

Q: When was Charles Jackson, Jr.'s NPI issued?

Charles Jackson, Jr.'s NPI was issued on March 25, 2006.

Q: What is Charles Jackson, Jr.'s provider type?

Charles Jackson, Jr. is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDentistry

NPI issued: March 25, 2006

Quick Facts

NPI Number

1972563690

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy1223X0400X — Dentistry

Phone

(801) 571-1231

StateUT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1972563690)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (March 25, 2006)

Data source: CMS NPPES

Provider Overview

CHARLES JACKSON, JR., DDS, MSD is a Dentistry provider based in Sandy, UT who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1972563690

Provider TypeIndividual Provider

GenderMale

CredentialDDS, MSD

StatusActive

Enumeration DateMarch 25, 2006

Practice Location

CitySandy

StateUT

ZIP Code84070-3404

Phone(801) 571-1231

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code1223X0400X

License StateUT

Mailing Address

CitySandy

StateUT

ZIP Code84070-3404

Phone(801) 571-1231

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1972563690 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1972563690for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1972563690 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

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