OrganizationActive
Jackson Family Dental Gladstone LLC
NPI 1194115865 · General Practice Dentistry · Gladstone, MO
Jackson Family Dental Gladstone LLC is a General Practice Dentistry organization in Gladstone, MO (NPI 1194115865).
Provider details
- NPI number
- 1194115865
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jesse Jackson, Member(816) 429-5799
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2109 Ne 72nd St
Ste 104
Gladstone, MO 64118-2304
Phone: (816) 453-3100
Fax: (816) 453-3180
Street-level locationGet directions
Mailing address
2109 Ne 72nd St
Gladstone, MO 64118-2304
Registry dates
- Enumerated
- 2015-02-02
- Last updated
- 2015-02-02
Frequently asked questions
- What is Jackson Family Dental Gladstone LLC's NPI number?
- Jackson Family Dental Gladstone LLC's National Provider Identifier (NPI) is 1194115865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Family Dental Gladstone LLC?
- Jackson Family Dental Gladstone LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jackson Family Dental Gladstone LLC located?
- Jackson Family Dental Gladstone LLC's practice location on file with NPPES is 2109 Ne 72nd St, Gladstone, MO 64118-2304.
- What is Jackson Family Dental Gladstone LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Family Dental Gladstone LLC is (816) 453-3100.
- Who is the authorized official for Jackson Family Dental Gladstone LLC?
- The authorized official listed on Jackson Family Dental Gladstone LLC's NPPES record is Jesse Jackson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Family Dental Gladstone LLC's NPI active?
- Yes — Jackson Family Dental Gladstone LLC's NPI (1194115865) is active in the NPPES registry as of the last update on 2015-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.