DR. Eli O. Jackson, D.M.D. is a general practice dentist in Bowling Green, KY. The provider is 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. DR. Eli O. Jackson, D.M.D. NPI is 1710959218. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
727 U.S. 31 W BY PASS
SUITE 102B
BOWLING GREEN, KY
ZIP 42101-999
Phone: (270) 781-2952
Fax: (270) 793-0977
The NPI 1710959218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/8/2007.