Jackson Dental

Jackson Dental is a healthcare organization registered as Dentist in Jackson, MO, holding Type 2 (organization) NPI 1992136923 since 2013. The authorized official on file is Cody Bell, Owner.

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NPI	1992136923
Entity type	Organization (Type 2)
Legal business name	Jackson Dental
Practice address	3100 E JACKSON BLVD, Jackson, MO, 63755
Phone	5732435200
Fax	5732437571
Enumeration date	2013-12-02
Last updated in NPPES	2013-12-02

Authorized official

Name	Cody Bell
Title	Owner
Phone	5732435200

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332BC3200X	Customized Equipment (DME)	Secondary	—	—
122300000X	Dentist	Primary	2011014478	MO

Copy-ready billing details

Provider: Jackson Dental
NPI: 1992136923
Taxonomy: 122300000X (Dentist)
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
1932260338	Jackson Dental, LLC	Organization	General Practice Dentistry	Jackson, MO
1568505634	Freeman Williams	Individual	General Practice Dentistry	Jackson, MO
1093008898	Cody Bell	Individual	General Practice Dentistry	Jackson, MO
1164316584	Holden Bequette	Individual	Dentist	Jackson, MO

Verify this record

Cross-check NPI 1992136923 against the authoritative CMS record: view Jackson Dental 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 2013-12-02. Verify at npiregistry.cms.hhs.gov.

Where is Jackson Dental located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-12-02.