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

Eli Jackson III PSC

Organization Dentist · NPI 1447638168

Eli Jackson III PSC is a Dentist 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.

See every abbreviation used in this directory →

Practice location Address checks out

1857 Tucker Way
Bowling Green, KY 42104-6258
Phone: (270) 781-2952
Fax: (270) 793-0977
Show map & directions

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 number1447638168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eli Jackson — Owner · (270) 781-2952
Other names Chandler Park Dental Care
NPI enumeratedMay 14, 2015
Last updated in NPPESSeptember 14, 2016
Mailing address1857 Tucker Way, Bowling Green, KY 42104-6258

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