Joseph Daniel Jackson, D.M.D.

General Practice Dentistry · Moline, IL

Individual Active NPI

NPI number 1598801011

Practice location

2900 41st St
Moline, IL 61265-7823
Phone
(309) 764-3242

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NPI record

NPI
1598801011
Entity type
Individual (Type 1)
Enumeration date
January 30, 2007
Last updated
January 24, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019026468 IL

About Dr. Jackson

Joseph Daniel Jackson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2900 41st St, Moline, IL 61265-7823. The NPI number 1598801011 was assigned on January 30, 2007 and the record was last updated on January 24, 2013.

Dr. Jackson lists a license in the registry: #019026468 (IL) 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 Joseph Daniel Jackson, D.M.D.?

The NPI number is 1598801011.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (309) 764-3242.

Where is Dr. Jackson located?

2900 41st St, Moline, IL 61265-7823.

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.

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