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Jackson Dental Prof. LLC

Jackson Dental Prof. LLC is a healthcare organization registered as Dentist in Belle Fourche, SD, holding Type 2 (organization) NPI 1144394545 since 2006. The authorized official on file is Christopher Jackson, President.

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NPI 1144394545
Entity type Organization (Type 2)
Legal business name Jackson Dental Prof. LLC
Other name <Unavail>
Practice address 503 JACKSON ST, Belle Fourche, SD, 57717
Phone 6058926347
Fax 6058929027
Enumeration date 2006-11-17
Last updated in NPPES 2010-11-03

Authorized official

Name Christopher Jackson
Title President
Phone 6058926347

Taxonomy & classification

Taxonomy code Specialty Primary License State
122300000X Dentist Secondary D0633 SD
122300000X Dentist Primary M525 SD
Copy-ready billing details
Provider: Jackson Dental Prof. LLC
NPI: 1144394545
Taxonomy: 122300000X (Dentist)
Address: 503 JACKSON ST, Belle Fourche, SD, 57717

Providers at this address

NPI Name Type Specialty Location
1245382217 John Jackson Individual Dentist Belle Fourche, SD
1457555658 Christopher Jackson Individual General Practice Dentistry Belle Fourche, SD
1699126144 Jonathan Krum Individual Dentist Belle Fourche, SD
1861245409 Lara Onischuk Individual Dentist Belle Fourche, SD
1528991023 Mason Jensen Individual Dentist Belle Fourche, SD

Verify this record

Cross-check NPI 1144394545 against the authoritative CMS record: view Jackson Dental Prof. LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-11-03. Verify at npiregistry.cms.hhs.gov.
Where is Jackson Dental Prof. LLC located?
The practice location on file with NPPES is in Belle Fourche, SD.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-11-03.