Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Dental LLC

Organization General Practice Dentistry · NPI 1104119601

Jackson Dental LLC is a General Practice Dentistry in Layton, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1868 N 400 W Ste 110
Layton, UT 84041-2191
Phone: (801) 774-8198
Fax: (801) 774-8191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6593716-9922 (UT)

Record details

NPI number1104119601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Jackson — Member · (801) 774-8198
NPI enumeratedMay 17, 2011
Last updated in NPPESMay 17, 2011
Mailing address1868 N 400 W Ste 110, Layton, UT 84041-2191

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