Jesse Jackson, DDS

NPI 1235458514 · on the registry since 2010

Practice

Address: 8650 Ne Shoal Creek Valley Dr
Kansas City, MO 64157
Phone: (816) 429-5799
Organisation at this address: Jackson Family Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 332BC3200X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-10

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