| Jackson Pediatric Dentistry Llc | |
|
1236 Ebenezer Rd Suite 110 Rock Hill SC 29732-3390 | |
| (803) 324-7540 | |
| (803) 324-4128 |
| Full Name | Jackson Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1236 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Stephanie Lynn Jackson (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9194124199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Pediatric Dentistry Llc 1686 Highway 160 W Fort Mill SC 29708-8024 Ph: (803) 548-2333 | Jackson Pediatric Dentistry Llc 1236 Ebenezer Rd Suite 110 Rock Hill SC 29732-3390 Ph: (803) 324-7540 |
| NPI Number | 1144679507 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144679507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Abrams Patel Cohen And Associates Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 Riverchase Blvd, Suite 104, Rock Hill, SC 29732 Phone: 803-327-1500 Fax: 803-327-1501 | |
Skyla Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Addison Dr Ste 111, Rock Hill, SC 29730 Phone: 803-832-4446 | |
Miller And Dixon Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1564 Constitution Blvd, Rock Hill, SC 29732 Phone: 803-327-1144 Fax: 803-328-2100 | |
Susan M Collins Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-324-3277 Fax: 803-324-2264 | |
Family Dental Spa Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-324-3277 | |
Dental Professionals Of South Carolina, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732 Phone: 803-992-8531 Fax: 803-980-8873 | |
Miller Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-327-1144 Fax: 803-328-2100 |