DR. Eli O. Jackson, D.M.D.

NPI #1710959218 in Bowling Green, Kentucky

Provider Information

NPI Number
1710959218
Entity Type
Individual
Name
DR. Eli O. Jackson, D.M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Feb 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
727 U.S. 31 W BY PASS
Address 2
SUITE 102B
ZIP Code
42101-4999
Phone
(270) 781-2952

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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