Jackson Dental

NPI #1992136923 in Jackson, Missouri

Provider Information

NPI Number: 1992136923
Entity Type: Organization
Organization Name: Jackson Dental
Primary Specialty: Dentist
Enumeration Date: Dec 2, 2013
Last Updated: Dec 2, 2013

Practice Location

Address: 3100 E JACKSON BLVD
City: Jackson
State: Missouri
ZIP Code: 63755-2957
Phone: (573) 243-5200

Authorized Official

Name: DR. CODY BELL, DDS
Title: OWNER
Phone: (573) 243-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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