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

Dr. Daniel Jackson, DDS

Individual provider Dentist · NPI 1124342803

Dr. Daniel Jackson, DDS is a Dentist in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

821 W Pine St
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

Dentist (primary) Taxonomy 122300000X · Licence 14158 (MO)

Record details

NPI number1124342803
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 24, 2010
Last updated in NPPESMarch 24, 2010
Mailing address821 W Pine St, Poplar Bluff, MO 63901-4956

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