DR. WILLIAM TRAVIS JACKSON DDS
NPI 1497915086
Dentist - General Practice in Nevada, MO

Q: What is William Jackson's NPI number?

The NPI number for William Jackson is 1497915086. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is William Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Jackson was last updated on June 17, 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.

Active since June 17, 2008

402 E WALNUT ST, NEVADA, MO 64772(417) 667-3006 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. William Travis Jackson Dds NPPES

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

DR. WILLIAM TRAVIS JACKSON DDS (NPI 1497915086) is an individual general practice provider in Nevada, Missouri, licensed in Missouri (2008015522) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1497915086

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WILLIAM TRAVIS JACKSONCredential: DDS

Location Address402 E WALNUT STNevada, MO 64772-2458

Mailing Address402 E Walnut StNevada, MO 64772-2458 · (417) 667-3006

Phone(417) 667-3006

Sole ProprietorYes

Enumeration DateJune 17, 2008

✔ NPI 1497915086 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 · 2008015522

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.

402 E WALNUT ST, Nevada, MO 64772

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Other Providers at the Same Location NPPES 2

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

NEVADA FAMILY DENTISTRY LLC

Dentist (General Practice)

402 E WALNUT ST
NEVADA, MO 64772

Vernon County (417) 667-3006

DR. ROBERT STEPHEN LONG DDS

Dentist (General Practice)

402 E WALNUT ST
NEVADA, MO 64772

Vernon County (417) 667-3006

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 William Jackson's NPI number?

The NPI number for William Jackson is 1497915086. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is William Jackson located?

William Jackson practices at 402 E Walnut St, Nevada, MO 64772. The listed phone number is (417) 667-3006.

What is William Jackson'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 William Jackson was last updated on June 17, 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.