Search › Missouri › 122300000X
Daniel Jackson, D.D.S
NPI 1124342803 · on the registry since 2010
Practice
- Address
- 821 W Pine St
Poplar Bluff, MO 63901 - Phone
- (573) 785-6434
- Fax
- (573) 785-6435
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri