Organization
R. SCOTT JACKSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S JACKSON DMD (PRESIDENT)
(803) 649-3411
Entity
Organization
Contact information
Practice address
2759 WHISKEY RD, AIKEN, SC 29803-6197
(803) 649-3411
Mailing address
2759 WHISKEY RD, AIKEN, SC 29803-6197
(803) 649-3411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3492
SC
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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