Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Jackson DDS PC

Organization General Practice Dentistry · NPI 1225205362

Daniel Jackson DDS PC is a 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
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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