OrganizationActive
Eli Jackson III Psc
NPI 1447638168 · Dentist · Bowling Green, KY
Eli Jackson III Psc is a Dentist organization in Bowling Green, KY (NPI 1447638168).
Provider details
- NPI number
- 1447638168
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Eli Jackson, Owner(270) 781-2952
- License
- 5450 (KY)
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
1857 Tucker Way
Bowling Green, KY 42104-6258
Phone: (270) 781-2952
Fax: (270) 793-0977
Approximate (ZIP-level) locationGet directions
Mailing address
1857 Tucker Way
Bowling Green, KY 42104-6258
Other names (DBA / former)
- Doing business as
- Chandler Park Dental Care
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2016-09-14
Frequently asked questions
- What is Eli Jackson III Psc's NPI number?
- Eli Jackson III Psc's National Provider Identifier (NPI) is 1447638168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eli Jackson III Psc?
- Eli Jackson III Psc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Eli Jackson III Psc located?
- Eli Jackson III Psc's practice location on file with NPPES is 1857 Tucker Way, Bowling Green, KY 42104-6258.
- What is Eli Jackson III Psc's phone number?
- The practice phone number listed in the NPPES registry for Eli Jackson III Psc is (270) 781-2952.
- Who is the authorized official for Eli Jackson III Psc?
- The authorized official listed on Eli Jackson III Psc's NPPES record is Eli Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eli Jackson III Psc's NPI active?
- Yes — Eli Jackson III Psc's NPI (1447638168) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.