Eli Jackson III PSC
Eli Jackson III PSC provides Dentist services in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.
- Licensed in
- KY
- In the registry since
- 2015
What do these letters mean?
- PSC — Professional service corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1857 Tucker WayBowling Green, KY 42104-6258 Not confirmed with CMS for 10 years — call before visiting
Phone: (270) 781-2952
Fax: (270) 793-0977
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 5450 (KY) |
|---|
Record details
| NPI number | 1447638168 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eli Jackson — Owner · (270) 781-2952 |
| Other names | Chandler Park Dental Care |
| NPI enumerated | May 14, 2015 |
| Last updated in NPPES | September 14, 2016 |
| Mailing address | 1857 Tucker Way, Bowling Green, KY 42104-6258 |
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Dr Nicole A. Middleton, PSC
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Dr. Oles B Drobocky, DMDMS
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Julie A Gaskill, DDS
546 Park St Ste 500, Bowling Green, KY 42101 · (270) 843-6891
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Brad Austin Graham, DMD
1857 Tucker Way, Bowling Green, KY 40104 · (270) 781-2952
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Dr. Staci Nicole Greer, DMD
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