Organization · Type 2 NPI

Jackson Pediatric Dentistry LLC

Pediatric Dentistry · Rock Hill, SC

NPI number 1144679507 Active

Practice location

1236 Ebenezer Rd, Suite 110
Rock Hill, SC 29732-3390

Call (803) 324-7540 Map

Fax (803) 324-4128

Mailing address

1686 Highway 160 W
Fort Mill, SC 29708-8024

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1144679507

Jackson Pediatric Dentistry LLC's National Provider Identifier is 1144679507, issued on Jun 7, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rock Hill, SC. The record was last updated on Aug 3, 2016.