Jackson Dental, LLC

Jackson Dental, LLC is a healthcare organization registered as General Practice Dentistry in Jackson, MO, holding Type 2 (organization) NPI 1932260338 since 2006. The authorized official on file is Kay Welker, Office Administrator.

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NPI	1932260338
Entity type	Organization (Type 2)
Legal business name	Jackson Dental, LLC
Practice address	3100 E JACKSON BLVD, Jackson, MO, 63755
Phone	5732435200
Enumeration date	2006-12-12
Last updated in NPPES	2012-05-18

Authorized official

Name	Kay Welker
Title	Office Administrator
Phone	5732435200

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	013049	MO

Copy-ready billing details

Provider: Jackson Dental, LLC
NPI: 1932260338
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 3100 E JACKSON BLVD, Jackson, MO, 63755

Providers at this address

NPI	Name	Type	Specialty	Location
1255491080	Robert Etherton	Individual	General Practice Dentistry	Jackson, MO
1568505634	Freeman Williams	Individual	General Practice Dentistry	Jackson, MO
1093008898	Cody Bell	Individual	General Practice Dentistry	Jackson, MO
1992136923	Jackson Dental	Organization	Dentist	Jackson, MO
1164316584	Holden Bequette	Individual	Dentist	Jackson, MO

Verify this record

Cross-check NPI 1932260338 against the authoritative CMS record: view Jackson Dental, 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

Where is Jackson Dental, LLC located?

The practice location on file with NPPES is in Jackson, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-05-18.