Individual
CRAIG W JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 HOSPITAL CENTER BLVD, HOSPITAL MEDICAL PAVILION, SUITE 102, HILTON HEAD ISLAND, SC 29926-2738
(843) 689-5500
(843) 689-6600
Mailing address
25 HOSPITAL CENTER BLVD, HOSPITAL MEDICAL PAVILION, SUITE 102, HILTON HEAD ISLAND, SC 29926-2738
(843) 689-5500
(843) 689-6600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3926
SC
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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