Individual
DR. ANDREW SCOTT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1303 S PEARL ST, PAGELAND, SC 29728-2200
(843) 572-8009
Mailing address
101 RANWORTH LN, SUMMERVILLE, SC 29485-4078
(601) 850-4223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8657
SC
Other
Enumeration date
10/14/2015
Last updated
09/25/2024
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