NPI
Benjamin Joseph Jackson
NPI 1326931742
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- DMD
- Type
- Individual
- Enumeration date
- 2025-06-03
- Last updated
- 2025-06-03
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Specialties
Licenses
- License IL
- 019.036026
Location
- Practice location
- 7017 John Deere Pkwy Ste 2b
- City
- Moline IL
- Postal code
- 61265-8037
- Phone
- (309) 792-0513
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Dentists in Moline, IL. 32 with this primary taxonomy in the public file.
Other NPIs in Moline, IL. 1,347 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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