Mr Bruce W Jackson, DDS - Dentist in Liberal, KS

Mr Bruce W Jackson, DDS is a Dentist based in Liberal, Kansas. Mr Bruce W Jackson is licensed to practice in Kansas (license number 5376) and his current practice location is 111 Lilac Dr, Liberal, Kansas. He can be reached at his office (for appointments etc.) via phone at (620) 624-0196.

NPI number for Mr Bruce W Jackson is 1851430532 and his current mailing address is 111 Lilac Dr, Liberal, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851430532.

Contact Information

Mr Bruce W Jackson, DDS
111 Lilac Dr,
Liberal, KS 67901
(620) 624-0196
(620) 624-2443



Healthcare Provider's Profile

Full NameMr Bruce W Jackson
GenderMale
SpecialityDentist
Location111 Lilac Dr, Liberal, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851430532
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Bruce W Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851430532NPI-NPPES
5376OtherKSKANSAS DENTAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 5376 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bruce W Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Bruce W Jackson, DDS
111 Lilac Dr,
Liberal, KS 67901

Ph: (620) 624-0196
Mr Bruce W Jackson, DDS
111 Lilac Dr,
Liberal, KS 67901

Ph: (620) 624-0196

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Dentist in Liberal, KS

Dr. Kim A Yount, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1411 W 15th St, Liberal, KS 67901
Phone: 620-624-1933    
Dr. Linda G. Wolf, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2130 N Kansas Ave, Liberal, KS 67901
Phone: 620-624-5321    Fax: 620-624-2285
Dr. Richard A. Farmer, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2130 N Grant Ave, Liberal, KS 67901
Phone: 620-624-7191    
Terry Dee Romans, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2110 N Grant, Liberal, KS 67901
Phone: 620-624-5052    Fax: 620-624-1136
Dr. Perlita M. Dutton, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 23 Professional Dr, Suite A, Liberal, KS 67901
Phone: 620-626-4700    Fax: 620-624-2474
Dr. Bradley J Rachow, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1411 W 15th St, Ste 301, Liberal, KS 67901
Phone: 620-624-1933    

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