Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Daniel Jackson DDS PC

Organization General Practice Dentistry · NPI 1225205362

Daniel Jackson DDS PC provides General Practice Dentistry in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

821 W Pine Blvd
Poplar Bluff, MO 63901-4956 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 785-6434
Fax: (573) 785-6435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14158 (MO)

Record details

NPI number1225205362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Jackson — Corporate President · (573) 785-6434
NPI enumeratedMay 8, 2008
Last updated in NPPESMay 8, 2008
Mailing address821 West Pine Blvd, Poplar Bluff, MO 63901-4956

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