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

ELI JACKSON III PSC

Active Organization

ELI JACKSON III PSC is a Dentist organization located in BOWLING GREEN, Kentucky. NPI 1447638168 is currently active in the NPPES registry. Verify at CMS.

Dentist · BOWLING GREEN, KY

Registration Details

NPI Number
1447638168
Provider Type
Organization
NPI Issued
May 14, 2015 (11.270626479781 yrs)
Last Updated
Sep 14, 2016
License
5450 (KY)

Practice Information

Address
1857 TUCKER WAY
BOWLING GREEN, KY, 421046258
Browse KY providers · Browse ZIP 42104
Phone
2707812952
Fax
2707930977
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.