OrganizationActive
Daniel Jackson DDS PC
NPI 1225205362 · General Practice Dentistry · Poplar Bluff, MO
Daniel Jackson DDS PC is a General Practice Dentistry organization in Poplar Bluff, MO (NPI 1225205362).
Provider details
- NPI number
- 1225205362
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daniel Jackson, Corporate President(573) 785-6434
- License
- 14158 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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 West Pine Blvd
Poplar Bluff, MO 63901-4956
Phone: (573) 785-6434
Fax: (573) 785-6435
Street-level locationGet directions
Mailing address
821 West Pine Blvd
Poplar Bluff, MO 63901-4956
Registry dates
- Enumerated
- 2008-05-08
- Last updated
- 2008-05-08
Frequently asked questions
- What is Daniel Jackson DDS PC's NPI number?
- Daniel Jackson DDS PC's National Provider Identifier (NPI) is 1225205362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daniel Jackson DDS PC?
- Daniel Jackson DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Daniel Jackson DDS PC located?
- Daniel Jackson DDS PC's practice location on file with NPPES is 821 West Pine Blvd, Poplar Bluff, MO 63901-4956.
- What is Daniel Jackson DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Daniel Jackson DDS PC is (573) 785-6434.
- Who is the authorized official for Daniel Jackson DDS PC?
- The authorized official listed on Daniel Jackson DDS PC's NPPES record is Daniel Jackson, Corporate President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Daniel Jackson DDS PC's NPI active?
- Yes — Daniel Jackson DDS PC's NPI (1225205362) is active in the NPPES registry as of the last update on 2008-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.