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JACKSON DENTAL, LLC
NPI 1932260338
Dentist - General Practice in Jackson, MO

Active since December 12, 2006
3100 E JACKSON BLVD, JACKSON, MO 63755(573) 243-5200 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Dental, Llc NPPES

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

JACKSON DENTAL, LLC (NPI 1932260338) is a healthcare organization registered as a general practice in Jackson, Missouri and active in the NPI registry since December 2006. The organization lists Kay Lynn Welker, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1932260338
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACKSON DENTAL, LLC
Location Address3100 E JACKSON BLVDJackson, MO 63755-2957
Mailing Address3100 E Jackson BlvdJackson, MO 63755-2957 · (573) 243-5200
Phone(573) 243-5200
Organization SubpartNo
Authorized OfficialKay Lynn WelkerOffice Administrator · (573) 243-5200
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 18, 2012
✔ NPI 1932260338 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 · 013049
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.
3100 E JACKSON BLVD, Jackson, MO 63755
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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

Other Providers at the Same Location NPPES 5

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

DR. CODY WAYNE BELL D.D.S.
Dentist (General Practice)
3100 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-5200
DR. HOLDEN BEQUETTE DDS
Dentist
3100 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-5200
DR. ROBERT ETHERTON D.M.D.
Dentist (General Practice)
3100 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-1520
FREEMAN S. WILLIAMS D.D.S.
Dentist (General Practice)
3100 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-5200
JACKSON DENTAL
Dentist
3100 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-5200

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 Jackson Dental, LLC's NPI number?

The NPI number for Jackson Dental, LLC is 1932260338. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Jackson Dental, LLC located?

Jackson Dental, LLC is located at 3100 E Jackson Blvd, Jackson, MO 63755. The listed phone number is (573) 243-5200.

What is Jackson Dental, LLC'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 Jackson Dental, LLC was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.