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

William Daniel Jackson, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1417036088

William Daniel Jackson, MD is a Pediatric Gastroenterology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Mario Capecchi Dr Ste 2650
Salt Lake City, UT 84113-1103
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 180909-1205 (UT)

Record details

NPI number1417036088
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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