Jackson Pediatric Dentistry Of Summerville is a Pediatric Dental Clinic in Summerville, South Carolina. It is located at 405 West 4th Street North, Summerville, SC and its contact number is 843-376-3161. The authorized person for Jackson Pediatric Dentistry Of Summerville is Dr. Jeffrey Jackson
who is Owner of the clinic and their contact number is 910-620-7881. The primary license number for Jackson Pediatric Dentistry Of Summerville is 911 (Pediatric Dentistry) in South Carolina. Jackson Pediatric Dentistry Of Summerville Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jackson Pediatric Dentistry Of Summerville Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jackson Pediatric Dentistry Of Summerville
Specialization:
Pediatric Dentistry
Clinic Address:
405 West 4th Street North, Summerville, South Carolina, 29483
Phone:
843-376-3161
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jeffrey Jackson
Position:
Owner
Contact Number:
910-620-7881
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jackson Pediatric Dentistry Of Summerville clinic are as mentioned below.
NPI Number:
1962981142
NPI Enumeration Date:
09 Aug, 2018
NPI Last Update On:
09 Aug, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Pediatric Dentistry Of Summerville are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
911
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZX8666
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jackson Pediatric Dentistry Of Summerville 303 Branch Creek Trl, Summerville, South Carolina
Zip:
29483-5338
Phone Number:
910-620-7881
Patients can reach Jackson Pediatric Dentistry Of Summerville at 405 West 4th Street North, Summerville, South Carolina or can call to book an appointment on 843-376-3161. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.