Organization
LJ DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D JACKSON DMD (OWNER/DENTIST)
(309) 764-3242
Entity
Organization
Contact information
Practice address
2900 41ST ST, MOLINE, IL 61265-7823
(309) 764-3242
(309) 764-3267
Mailing address
2900 41ST ST, MOLINE, IL 61265-7823
(309) 764-3242
(309) 764-3267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19015383
IL
1223G0001X
General Practice Dentistry
Primary
19026468
IL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up