Individual provider · Type 1 NPI

Jesse L. Jackson, DDS

General Practice Dentistry · Kansas City, MO

NPI number 1235458514 Active

Practice location

8650 NE Shoal Creek Valley Dr
Kansas City, MO 64157-8063

Call (816) 429-5799 Map

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) 332BC3200X2010016173 (MO)
General Practice Dentistry Primary 1223G0001X2010016173 (MO)

General Practice Dentistry: 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.

2 other providers at this address

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About NPI 1235458514

Jesse L. Jackson, DDS's National Provider Identifier is 1235458514, issued on May 25, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kansas City, MO. The record was last updated on Nov 10, 2025.