Organization
SUSANNE P. JACKSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G EDWARDS (OFFICE MANAGER)
(919) 968-9874
Entity
Organization
Contact information
Practice address
77 VILCOM CENTER DR STE 180, CHAPEL HILL, NC 27514-1789
(919) 968-9874
(919) 869-1335
Mailing address
77 VILCOM CENTER DR STE 180, CHAPEL HILL, NC 27514-1789
(919) 968-9874
(919) 869-1335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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