Search › Utah › 207P00000X
Dennis Jackson, MD
NPI 1063039824 · on the registry since 2020
Practice
- Address
- 590 S Wakara Way
Salt Lake City, UT 84108 - Phone
- (801) 581-2121
- Organisation at this address
- University Of Utah
University Of Utah
University Of Utah
University Of Utah Adult Services
University Of Utah Surgical ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 164
Additional practice sites
- 1045 W Stephenson St, Freeport, IL
- 1045 W Stephenson St, Freeport, IL
- 2799 W Grand Blvd, Detroit, MI
- 1800 W Charleston Blvd, Las Vegas, NV
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207PS0010X
207P00000X
207P00000X - Licence states on file
- UT, IL, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-01
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 Utah