Individual provider · Type 1 NPI

Eli O. Jackson, DMD

General Practice Dentistry · Bowling Green, KY

NPI number 1710959218 Active

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.