Eli Jackson III PSC
NPI 1447638168ActiveOrganization· Dentist· Bowling Green, KY
Dentist in Bowling Green, Kentucky, registered in NPPES in May 2015. The authorized official on file is Eli O. Jackson, DMD, Owner.
Overview
| NPI | 1447638168 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2015 |
| Last updated in NPPES | Sep 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5450 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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