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

Dr. Eli O. Jackson, DMD

Individual provider General Practice Dentistry · NPI 1710959218

Dr. Eli O. Jackson, DMD is a General Practice Dentistry in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

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

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Practice location Address checks out

727 U.s 31 W By Pass Ste 102B
Bowling Green, KY 42101-4999
Phone: (270) 781-2952
Fax: (270) 793-0977
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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 5450 (KY)

Record details

NPI number1710959218
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESJuly 13, 2026

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