Chandler Park Dental Care

LBN: Eli Jackson Iii Psc
Chandler Park Dental Care is an health care organization with primary practice located at 1857 Tucker Way , Bowling Green KY 42104-6258. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Eli Jackson Iii Psc can be contacted via phone (270) 781-2952, or through Jackson, Eli O via phone (270) 781-2952.

Contact Information

Primary practice address
1857 Tucker Way Bowling Green KY 42104-6258
Phone: (270) 781-2952
Fax: (270) 793-0977
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Eli O Doctor of Dental Medicine (DMD)
Phone: (270) 781-2952

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5450 Kentucky

Profile Details

NPI number 1447638168
LBN Legal business name Eli Jackson Iii Psc
DBA Doing business as Chandler Park Dental Care
Authorized official Jackson, Eli O Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2015
Last updated Sep 14th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers