What is Bruce Jackson's NPI number?

Bruce Jackson's National Provider Identifier (NPI) is 1851430532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bruce Jackson's specialty?

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

Where is Bruce Jackson located?

Bruce Jackson's practice location on file with NPPES is 111 Lilac Dr, Liberal, KS 67901.

What is Bruce Jackson's phone number?

The practice phone number listed in the NPPES registry for Bruce Jackson is (620) 624-0196.

Is Bruce Jackson's NPI active?

Yes — Bruce Jackson's NPI (1851430532) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Bruce Jackson, DDS

NPI 1851430532 · Dentist · Liberal, KS

Bruce Jackson, DDS is a Dentist provider in Liberal, KS (NPI 1851430532).

Provider details

NPI number: 1851430532
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 5376 (KS)

Specialties & taxonomies

DentistPrimary122300000XLicense 5376 (KS)
Dental Providers

Profile Score

Detailed profile(90/100 index)

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

Registry tenure38% of score
19 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

111 Lilac Dr

Liberal, KS 67901

Phone: (620) 624-0196

Fax: (620) 624-2443

Street-level locationGet directions

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Mailing address