Individual provider · Type 1 NPI
Eli O. Jackson, DMD
General Practice Dentistry · Bowling Green, KY
NPI number
1710959218
Active
Practice location
727 U.s. 31 W By Pass, Suite 102B
Bowling Green, KY 42101-4999
Fax (270) 793-0977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5450 (KY) |
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.
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About NPI 1710959218
Eli O. Jackson, DMD's National Provider Identifier is 1710959218, issued on Feb 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 13, 2026.