Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANA MARIE JACKSON, DMD
Active Sole ProprietorDANA MARIE JACKSON, DMD is a Dentist healthcare provider located in STRAFFORD, Missouri. NPI 1114328366 is currently active in the NPPES registry. Verify at CMS.
Dentist · STRAFFORD, MO
Registration Details
- NPI Number
- 1114328366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2014 (11.74924377313 yrs)
- Last Updated
- Aug 31, 2023
- Licenses
-
2023031197 (MO)2023031197 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 S STATE HIGHWAY 125STRAFFORD, MO, 657578997Browse MO providers · Browse ZIP 65757
- Phone
- 4176314490
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.