DR. CARL JACKSON JR., DDS
Dentist - General Practice
Active
Individual
NPI: 1265510457
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 12010844A (IN) |
| Dentist - General Practice | 1223G0001X | Yes | 7045 (SC) |
Frequently Asked Questions
NPI 1265510457 is the National Provider Identifier for DR. CARL JACKSON JR., DDS, a Dentist - General Practice provider located in Columbia, SC. This NPI was enumerated on November 2, 2006.
DR. CARL JACKSON JR., DDS practices at 121 WILDEWOOD PARK DR, Columbia, SC 29223.
Quick Facts
- NPI
- 1265510457
- Type
- Individual
- Enumerated
- Nov 2, 2006
- Last Updated
- Aug 20, 2024
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