Search › Illinois › 122300000X
Jackson Canter
NPI 1396362497 · on the registry since 2020
Practice
- Address
- 507 Washington St
Beardstown, IL 62618 - Phone
- (217) 323-2701
- Organisation at this address
- Dental Professionals Of Illinois, P.C.
Schuyler County Hospital District Health Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-06
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 Illinois