What is Daniel Jackson's NPI number?

Daniel Jackson's National Provider Identifier (NPI) is 1124342803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Daniel Jackson's specialty?

Daniel Jackson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Daniel Jackson located?

Daniel Jackson's practice location on file with NPPES is 821 W Pine St, Poplar Bluff, MO 63901-4956.

What is Daniel Jackson's phone number?

The practice phone number listed in the NPPES registry for Daniel Jackson is (573) 785-6434.

Is Daniel Jackson's NPI active?

Yes — Daniel Jackson's NPI (1124342803) is active in the NPPES registry as of the last update on 2010-03-24.

IndividualActive

Daniel Jackson, D.D.S

NPI 1124342803 · Dentist · Poplar Bluff, MO

Daniel Jackson, D.D.S is a Dentist provider in Poplar Bluff, MO (NPI 1124342803).

Provider details

NPI number: 1124342803
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S
Sex: Male
Sole proprietor: No
License: 14158 (MO)

Specialties & taxonomies

DentistPrimary122300000XLicense 14158 (MO)
Dental Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

821 W Pine St

Poplar Bluff, MO 63901-4956

Phone: (573) 785-6434

Fax: (573) 785-6435

Street-level locationGet directions

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Mailing address