Jackson Canter
Dentist · Beardstown, IL
Practice location
507 Washington StBeardstown, IL 62618-1558
- Phone
- (217) 323-2701
NPI record
- NPI
- 1396362497
- Entity type
- Individual (Type 1)
- Enumeration date
- July 6, 2020
- Last updated
- July 6, 2020
- Certified
- July 6, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019032733 | IL |
About Jackson Canter
Jackson Canter is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 507 Washington St, Beardstown, IL 62618-1558. The NPI number 1396362497 was assigned on July 6, 2020 and the record was last updated on July 6, 2020.
Jackson Canter lists a license in the registry: #019032733 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jackson Canter?
The NPI number is 1396362497.
What is the phone number of Jackson Canter?
The phone number listed for the practice location is (217) 323-2701.
Where is Jackson Canter located?
507 Washington St, Beardstown, IL 62618-1558.
What is the taxonomy code for Jackson Canter?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Beardstown
- John Gauer Merrihew DMD LTD1020 State St