Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093707663 Individual Practitioner Male Practitioner

Dr. Darrell G. Jackson , DDS

Dentist - General Practice • Alamosa, CO

Professional Overview & Biography Verified Profile Summary

Dr. Darrell Jackson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Alamosa, CO. Practice services are available at 2405 MULLINS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2405 Mullins Ave

Alamosa, CO 811014260

Telephone 7195895272
Fax 7195895300
Associated Practice Facility / Clinic
🏢 Darrell Jackson Facility NPI 1588657795

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alamosa, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Alamosa, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 8293

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
01518266 (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2405 MULLINS AVE, ALAMOSA, CO 811014260 (Tel: 7195895272)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2405 MULLINS AVE, ALAMOSA, CO 811014260 (Tel: 7195895272)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DARRELL JACKSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8293 in CO)

🟢
Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093707663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2405 Mullins Ave

Alamosa, CO 811014260

Phone: 7195895272

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.