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

Jackson Family Dental Gladstone LLC

Organization General Practice Dentistry · NPI 1194115865

Jackson Family Dental Gladstone LLC is a General Practice Dentistry in Gladstone, Missouri. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2109 NE 72nd St Ste 104
Gladstone, MO 64118-2304
Phone: (816) 453-3100
Fax: (816) 453-3180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1194115865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Jackson — Member · (816) 429-5799
NPI enumeratedFebruary 2, 2015
Last updated in NPPESFebruary 2, 2015
Mailing address2109 Ne 72nd St, Ste 104, Gladstone, MO 64118-2304

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