Mr. Bruce W Jackson is a Liberal, Kansas based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Bruce W Jackson is
5376 for Dentistry in Kansas. His current practice location is
111 Lilac Dr, Liberal. Patients can reach him at
620-624-0196.
Mr. Bruce W Jackson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Bruce W Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Bruce W Jackson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 111 Lilac Dr, Liberal,
Kansas, 67901 |
| Phone: | 620-624-0196 |
| Fax: | 620-624-2443 |
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 are as mentioned below.
| NPI Number: | 1851430532 |
| NPI Enumeration Date: | 06 Feb, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Bruce W Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 5376 | Dentistry | Kansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Bruce W Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5376 | Other | Kansas | KANSAS DENTAL BOARD |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 111 Lilac Dr,
Liberal, Kansas |
| Zip: | 67901 |
| Phone Number: | 620-624-0196 |
| Fax Number: | 620-624-2443 |
Patients can reach Mr. Bruce W Jackson at
111 Lilac Dr, Liberal, Kansas or can
call to book an appointment on 620-624-0196.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.