Eli Jackson Iii Psc is a Dental Clinic in Bowling Green, Kentucky. It is located at 1857 Tucker Way, Bowling Green, KY and its contact number is 270-781-2952. The authorized person for Eli Jackson Iii Psc is Eli O Jackson Iii
who is Owner of the clinic and their contact number is 270-781-2952. The primary license number for Eli Jackson Iii Psc is 5450 (Dentist) in Kentucky.
Eli Jackson Iii Psc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Eli Jackson Iii Psc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eli Jackson Iii Psc |
| Specialization: | Dentistry |
| Clinic Address: | 1857 Tucker Way, Bowling Green,
Kentucky, 42104-6258 |
| Phone: | 270-781-2952 |
| Fax: | 270-793-0977 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Eli O Jackson Iii |
| Position: | Owner |
| Contact Number: | 270-781-2952 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Eli Jackson Iii Psc clinic are as mentioned below.
| NPI Number: | 1447638168 |
| NPI Enumeration Date: | 14 May, 2015 |
| NPI Last Update On: | 14 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eli Jackson Iii Psc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 5450 | Kentucky | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eli Jackson Iii Psc
1857 Tucker Way,
Bowling Green, Kentucky |
| Zip: | 42104-6258 |
| Phone Number: | 270-781-2952 |
| Fax Number: | 270-793-0977 |
Patients can reach Eli Jackson Iii Psc at
1857 Tucker Way, Bowling Green, Kentucky or can
call to book an appointment on 270-781-2952.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.