Eli O. Jackson, D.M.D.

General Practice Dentistry · Bowling Green, KY

Individual Active NPI

NPI number 1710959218

Practice location

727 U.S. 31 W BY Pass
Suite 102b
Bowling Green, KY 42101-4999

Phone: (270) 781-2952
Fax: (270) 793-0977

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NPI record

NPI: 1710959218
Entity type: Individual (Type 1)
Enumeration date: February 7, 2006
Last updated: July 13, 2026
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	5450	KY

About Dr. Jackson

Eli O. 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 727 U.S. 31 W BY Pass, Suite 102b, Bowling Green, KY 42101-4999. The NPI number 1710959218 was assigned on February 7, 2006 and the record was last updated on July 13, 2026.

Dr. Jackson lists a license in the registry: #5450 (KY) 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 Eli O. Jackson, D.M.D.?

The NPI number is 1710959218.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (270) 781-2952.

Where is Dr. Jackson located?

727 U.S. 31 W BY Pass, Suite 102b, Bowling Green, KY 42101-4999.

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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