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Jackson Family Dental Gladstone LLC

General Practice Dentistry in Gladstone, MO · enumerated 2015 · authorized official Jesse Jackson, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194115865

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Family Dental Gladstone LLC
Practice address 2109 Ne 72nd St, Ste 104, Gladstone, MO, 64118
Phone (816) 453-3100
Fax (816) 453-3180
Enumeration date Feb 2, 2015
Last updated in NPPES Feb 2, 2015

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jesse Jackson
Title Member
Phone (816) 429-5799

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.

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Frequently asked questions

What type of organization is Jackson Family Dental Gladstone LLC?
Jackson Family Dental Gladstone LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-02.