Organization
ANDREW SCOTT JACKSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SCOTT JACKSON D.D.S (OWNER)
(843) 672-2444
Entity
Organization
Contact information
Practice address
1303 SOUTH PEARL ST, PAGELAND, SC 29728-0245
(843) 672-2444
Mailing address
P.O. BOX 245, 1303 SOUTH PEARL STREET, PAGELAND, SC 29728-0245
(843) 672-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8657
SC
Other
Enumeration date
11/03/2016
Last updated
09/25/2024
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