Individual
DR. MATTHEW DV JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9319 E HARRY, #126, WICHITA, KS 67207
(316) 683-7081
(316) 683-8149
Mailing address
9319 E HARRY, #126, WICHITA, KS 67207
(316) 683-7081
(316) 683-8149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS7131
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059792
BCBS OF KS
KS
01
—
976141
UNITED CONCORDIA
—
Enumeration date
01/10/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us