Individual
DR. ELI O. JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
727 U.S. 31 W BY PASS, SUITE 102B, BOWLING GREEN, KY 42101-4999
(270) 781-2952
(270) 793-0977
Mailing address
727 U.S. 31 W BY PASS, SUITE 102B, BOWLING GREEN, KY 42101-4999
(270) 781-2952
(270) 793-0977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5450
KY
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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