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CHANDLER PARK DENTAL CARE
NPI 1447638168
Dentist in Bowling Green, KY

Active since May 14, 2015
1857 TUCKER WAY, BOWLING GREEN, KY 42104(270) 781-2952(270) 793-0977 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chandler Park Dental Care NPPES

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

CHANDLER PARK DENTAL CARE (NPI 1447638168) is a healthcare organization registered as a dentist in Bowling Green, Kentucky and active in the NPI registry since May 2015. The organization lists Eli O Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1447638168
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameELI JACKSON III PSC
Location Address1857 TUCKER WAYBowling Green, KY 42104-6258
Mailing Address1857 Tucker WayBowling Green, KY 42104-6258 · (270) 781-2952 · Fax (270) 793-0977
Phone(270) 781-2952
Fax(270) 793-0977
Organization SubpartNo
Authorized OfficialEli O JacksonOwner · (270) 781-2952
Enumeration DateMay 14, 2015
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1447638168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 5450
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1857 TUCKER WAY, Bowling Green, KY 42104
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Other Names 1

Doing Business AsChandler Park Dental Care

Other Identifiers 1

Medicare NSC7415980001KY

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA CROSS POLK RD, LD
Dietitian, Registered
1857 TUCKER WAY, STE B
BOWLING GREEN, KY 42104
Warren County (270) 745-0942
DR. JOHN AUSTIN DELPONT DMD
Dentist (General Practice)
1857 TUCKER WAY
BOWLING GREEN, KY 42104
Warren County (270) 781-2952
DR. DEVIN T HALL D.M.D.
Dentist
1857 TUCKER WAY
BOWLING GREEN, KY 42104
Warren County (270) 781-2952

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 Eli Jackson III Psc's NPI number?

The NPI number for Eli Jackson III Psc is 1447638168. It was assigned to this organization in the NPPES registry on May 14, 2015. The provider is doing business as Chandler Park Dental Care.

Where is Eli Jackson III Psc located?

Eli Jackson III Psc is located at 1857 Tucker Way, Bowling Green, KY 42104. The listed phone number is (270) 781-2952.

What is Eli Jackson III Psc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Eli Jackson III Psc was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.