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Jackson Canter — NPI 1396362497, Beardstown, IL | NPI Central

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NPI 1396362497

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Jackson Canter

NPI 1396362497 · Dentist · Beardstown, IL

Provider details

NPI number: 1396362497
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: 019032733 (IL)

Specialties & taxonomies

DentistPrimary122300000XLicense 019032733 (IL)
Dental Providers

Practice location

507 Washington St

Beardstown, IL 62618-1558

Phone: (217) 323-2701

Approximate (ZIP-level) locationGet directions

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Mailing address

507 Washington St

Beardstown, IL 62618-1558

Registry dates

Enumerated: 2020-07-06
Last updated: 2020-07-06
Certified: 2020-07-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.