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

Andrew Spencer Jackson, DDS

Individual provider General Practice Dentistry · NPI 1194811240

Andrew Spencer Jackson, DDS is a General Practice Dentistry in Vallejo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1832 Capitol St
Vallejo, CA 94590
Phone: (707) 552-4110
Fax: (707) 552-6224
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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 23115 (CA)

Record details

NPI number1194811240
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

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