Carl Jackson is a Dentist in Columbia, South Carolina. Carl Jackson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carl Jackson is 1265510457. The last update date is 2012-07-12.
Carl Jackson's current location address is 145 Pelham Dr, Columbia, South Carolina. You can contact this provider via phone number 8036618412 and fax number 8036618415. The mailing address for Carl Jackson is 145 Pelham Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Jackson |
|---|---|
| Address | 145 Pelham Dr, Columbia, South Carolina |
| Phone Number | 8036618412 |
| Fax Number | 8036618415 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265510457 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2012-07-12 |
Provider Mailing Address Detail
| Address | 145 Pelham Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292091321 |
| Phone Number | 8036618412 |
| Fax Number | 8036618415 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010844A |
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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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200865730A | IN | -- | |
| PENDING | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carl Jackson by the Centers for Medicare & Medicaid Services?
The Carl Jackson has been assigned the NPI (National Provider Identifier) 1265510457 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Carl Jackson's facilities are geographically located?
The facilities of Carl Jackson are physically situated at the following location: 145 Pelham Dr, Columbia, SC, 292091321.
What is the area of specialization for Carl Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carl Jackson is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did the Carl Jackson receive its 1265510457?
The Carl Jackson was issued its 1265510457 on 2006-11-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Carl Jackson last refreshed?
The information related to the Carl Jackson, including its address, specialty, and other relevant details, was last updated on 2012-07-12.