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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESSE L JACKSON, DDS

Active

DR. JESSE L JACKSON, DDS is a General Dentistry healthcare provider located in KANSAS CITY, Missouri. NPI 1235458514 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · KANSAS CITY, MO

Registration Details

NPI Number
1235458514
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2010 (16.043548430068 yrs)
Last Updated
Nov 10, 2025
Licenses
2010016173 (MO)
2010016173 (MO)

Practice Information

Address
8650 NE SHOAL CREEK VALLEY DR
KANSAS CITY, MO, 641578063
Browse MO providers · Browse ZIP 64157
Phone
8164295799
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in KANSAS CITY, MO

Name Credential NPI
DR. JOHN WILLIAM NELSON JR. D.D.S., M.P.A. 1457354458
DR. J EDWARD KENDRICK D.D.S. 1407858558
GUY S DEYTON DDS 1396747440
DR. NATHAN BRADLEY KLEIN DDS 1477559714
DR. MARQUITA MAYS D.D.S 1790784023
MR. BRAD A. HIGGERSON DMD 1265424311
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.