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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.