| Eli Jackson Iii Psc | |
|
1857 Tucker Way Bowling Green KY 42104-6258 | |
| (270) 781-2952 | |
| (270) 793-0977 |
| Full Name | Eli Jackson Iii Psc |
|---|---|
| Speciality | Dentist |
| Location | 1857 Tucker Way, Bowling Green, Kentucky |
| Authorized Official Name and Position | Eli O Jackson (OWNER) |
| Authorized Official Contact | 2707812952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eli Jackson Iii Psc 1857 Tucker Way Bowling Green KY 42104-6258 Ph: (270) 781-2952 | Eli Jackson Iii Psc 1857 Tucker Way Bowling Green KY 42104-6258 Ph: (270) 781-2952 |
| NPI Number | 1447638168 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447638168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5450 (Kentucky) | Primary |
Southern Kentucky Oral Surgery Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1802 Rockingham Ave, Bowling Green, KY 42104 Phone: 270-783-0064 | |
Heartland Dental Care Of Kentucky - Mathew Cliburn Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Ashley St, Suite B, Bowling Green, KY 42103 Phone: 270-783-3177 Fax: 270-783-3090 | |
Michael W. Howell, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 952 Us 31 W Bypass, Bowling Green, KY 42102 Phone: 270-782-9052 Fax: 270-843-3081 | |
Heartland Dental Care Of Kentucky - Mathew Cliburn Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Ashley St, Suite A, Bowling Green, KY 42103 Phone: 270-793-0703 Fax: 270-793-0740 | |
Pediatric Dentistry Of Southern Kentucky Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Natchez Trace Ave, Bowling Green, KY 42103 Phone: 270-715-5437 Fax: 270-715-0032 | |
Bluegrass Oral Health Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 546 Park St, Suite 400, Bowling Green, KY 42101 Phone: 270-781-6161 Fax: 270-781-6129 | |
Commonwealth Health Free Clinic, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 E 10th Ave, Bowling Green, KY 42101 Phone: 270-781-9765 Fax: 270-782-6461 |