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Dr. Carl Jackson JR., DDS
General Practice Dentistry in Columbia, South Carolina
NPI 1265510457

Carl Jackson JR. is a General Practice Dentistry based in Columbia, SC and is specialized in General Practice. Carl Jackson JR. practices in Columbia, SC and has the professional credentials of DDS. The NPI Number for Carl Jackson JR. is 1265510457 and holds a License No. 12010844A (South Carolina).

The current practice location address for Carl Jackson JR. is 121 Wildewood Park Dr, Columbia, SC and can be reached out via phone at 803-736-5300 and via fax at 803-736-1422.

Location: 121 Wildewood Park Dr, Columbia, SC, 29223-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265510457
Provider Name
Carl Jackson JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
121 Wildewood Park Dr, Columbia, SC, 29223-4300
Phone Number
803-736-5300
Fax Number
803-736-1422
Provider Enumeration Date
11/02/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 SC
200865730A 05 IN
institution
Provider Business Practice Location Address Details
Address
121 Wildewood Park Dr
City
Columbia
State
South Carolina
Zip
29223-4300
Phone Number
803-736-5300
Fax Number
803-736-1422
person
Provider Business Mailing Address Details
Address
121 Wildewood Park Dr
City
Columbia
State
South Carolina
Zip
29223-4300
Phone Number
803-736-5300
Fax Number
803-736-1422
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
7045 (South Carolina)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12010844A (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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