William Travis Jackson, DDS

General Practice Dentistry · Nevada, MO

Individual Active NPI

NPI number 1497915086

Practice location

402 E Walnut St
Nevada, MO 64772-2458
Phone
(417) 667-3006

Open in Google Maps

NPI record

NPI
1497915086
Entity type
Individual (Type 1)
Enumeration date
June 17, 2008
Last updated
June 17, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2008015522 MO

About Dr. Jackson

William Travis Jackson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 402 E Walnut St, Nevada, MO 64772-2458. The NPI number 1497915086 was assigned on June 17, 2008 and the record was last updated on June 17, 2008.

Dr. Jackson lists a license in the registry: #2008015522 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Travis Jackson, DDS?

The NPI number is 1497915086.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (417) 667-3006.

Where is Dr. Jackson located?

402 E Walnut St, Nevada, MO 64772-2458.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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 General Practice Dentistry providers in Nevada

All General Practice Dentistry providers in Nevada, MO →