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

Dr. Robert Etherton, DMD

Individual provider General Practice Dentistry · NPI 1255491080

Dr. Robert Etherton, DMD is a General Practice Dentistry in Jackson, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3100 E Jackson Blvd
Jackson, MO 63755-2957
Phone: (573) 243-1520
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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 2002015492 (MO)

Record details

NPI number1255491080
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESApril 26, 2012
Mailing address3100 E Jackson Blvd, Jackson, MO 63755-2957

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