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Jackson Pediatric Dentistry Of Summerville
Pediatric Dentist in Summerville, South Carolina
NPI 1962981142

Jackson Pediatric Dentistry Of Summerville is a Pediatric Dentist based in Summerville, SC and is specialized in Pediatric Dentistry. Jackson Pediatric Dentistry Of Summerville practices in Summerville, SC. The NPI Number for Jackson Pediatric Dentistry Of Summerville is 1962981142 and holds a License No. 911 (South Carolina).

The current practice location address for Jackson Pediatric Dentistry Of Summerville is 405 West 4Th Street North, Summerville, SC and can be reached out via phone at 843-376-3161.

Location: 405 West 4Th Street North, Summerville, SC, 29483-5338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962981142
Provider Name
Jackson Pediatric Dentistry Of Summerville
Credential
Provider Entity Type
Organization
Address
405 West 4Th Street North, Summerville, SC, 29483-5338
Phone Number
843-376-3161
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX8666 05 SC
institution
Provider Business Practice Location Address Details
Address
405 West 4Th Street North
City
Summerville
State
South Carolina
Zip
29483
Phone Number
843-376-3161
Fax Number
person
Provider Business Mailing Address Details
Address
405 West 4Th Street North
City
Summerville
State
South Carolina
Zip
29483
Phone Number
843-376-3161
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
911 (South Carolina)
Definition
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.
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