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DANIEL JACKSON DDS PC
NPI 1225205362
Dentist - General Practice in Poplar Bluff, MO

Active since May 08, 2008
821 WEST PINE BLVD, POPLAR BLUFF, MO 63901(573) 785-6434(573) 785-6435 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Jackson Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL JACKSON DDS PC (NPI 1225205362) is a healthcare organization registered as a general practice in Poplar Bluff, Missouri and active in the NPI registry since May 2008. The organization lists Daniel Jackson, Corporate President, as its authorized official.

NPPES Registry Identity

NPI1225205362
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDANIEL JACKSON DDS PC
Location Address821 WEST PINE BLVDPoplar Bluff, MO 63901-4956
Mailing Address821 West Pine BlvdPoplar Bluff, MO 63901-4956 · (573) 785-6434 · Fax (573) 785-6435
Phone(573) 785-6434
Fax(573) 785-6435
Organization SubpartNo
Authorized OfficialDaniel JacksonCorporate President · (573) 785-6434
Enumeration DateMay 8, 2008
✔ NPI 1225205362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 14158
Definition
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.
821 WEST PINE BLVD, Poplar Bluff, MO 63901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Jackson Dds PC's NPI number?

The NPI number for Daniel Jackson Dds PC is 1225205362. It was assigned to this organization in the NPPES registry on May 8, 2008.

Where is Daniel Jackson Dds PC located?

Daniel Jackson Dds PC is located at 821 West Pine Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 785-6434.

What is Daniel Jackson Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Daniel Jackson Dds PC was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.