| Jackson Family Dental Gladstone Llc | |
|
2109 Ne 72nd St Ste 104 Gladstone MO 64118-2304 | |
| (816) 453-3100 | |
| (816) 453-3180 |
| Full Name | Jackson Family Dental Gladstone Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2109 Ne 72nd St, Gladstone, Missouri |
| Authorized Official Name and Position | Jesse Lynn Jackson (MEMBER) |
| Authorized Official Contact | 8164295799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Dental Gladstone Llc 2109 Ne 72nd St Ste 104 Gladstone MO 64118-2304 Ph: (816) 453-3100 | Jackson Family Dental Gladstone Llc 2109 Ne 72nd St Ste 104 Gladstone MO 64118-2304 Ph: (816) 453-3100 |
| NPI Number | 1194115865 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194115865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Tonganoxie Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6725 N Park Ave, Gladstone, MO 64118 Phone: 816-813-7917 | |
Alan C Fashion, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 Ne Brooktree Lane, Gladstone, MO 64119 Phone: 816-452-4600 | |
Dr. Douglas J. Cochran D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 N Oak Trfy, Gladstone, MO 64118 Phone: 816-436-2150 Fax: 816-436-2083 | |
Hormozdi D.d.s. Denture Clinic, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 5950 N Oak Trfy Ste 101, Gladstone, MO 64118 Phone: 816-298-0090 | |
Dental Group Northland Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5950 N Oak Trfy, Gladstone, MO 64118 Phone: 816-436-5558 | |
Dentistry For Children Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Nw 72nd St, Gladstone, MO 64118 Phone: 816-436-5900 Fax: 816-436-5985 |