Jackson, Daniel

Jackson, Daniel is an individual health care provider with primary practice located at 821 W Pine St , Poplar Bluff MO 63901-4956. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jackson, Daniel can be contacted via phone (573) 785-6434.

Contact Information

Primary practice address
821 W Pine St Poplar Bluff MO 63901-4956
Phone: (573) 785-6434
Fax: (573) 785-6435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14158 Missouri

Profile Details

NPI number 1124342803
LBN Legal business name Jackson, Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2010
Last updated Mar 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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