Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851430532 Individual Practitioner Male Practitioner

Dr. Bruce W Jackson , DDS

Dentist • Liberal, KS

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Jackson, DDS is a registered healthcare professional specializing in Dentist in Liberal, KS. Practice services are available at 111 LILAC DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Lilac Dr

Liberal, KS 67901

Telephone 6206240196
Fax 6206242443
Associated Practice Facility / Clinic
🏢 Rachow Physical Therapy Llc Facility NPI 1700389475

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Liberal, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Liberal, KS (638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License KS 5376

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Kansas Dental Board
5376 (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Amber Skinner , DPT

Physical Therapist

NPI 1326594342

Doctor of Physical Therapy

Molly Rachow , PT

Physical Therapist

NPI 1629471115

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 111 LILAC DR, LIBERAL, KS 67901 (Tel: 6206240196)

📍
Updated Business Mailing Address July 08, 2007

Registered at 111 LILAC DR, LIBERAL, KS 67901 (Tel: 6206240196)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5376 in KS)

🟢
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851430532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

111 Lilac Dr

Liberal, KS 67901

Phone: 6206240196

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.