Search › Colorado › 1223P0221X
Stacy Jackson, DDS
NPI 1043530991 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3400 Penrose Pl Ste 107
Boulder, CO 80301 - Phone
- (303) 443-8250
- Organisation at this address
- John Montoya Dds Pc
Edward E Barrett Dds
Tony Yang Dds Md Pllc
Tony Yang Dds Md Pllc
Jeffrey H Wong, D.D.S. M.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 5150 W 80th Ave, Westminster, CO
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 122300000X
- Licence states on file
- MO, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado