Organization
ALFRED M. JACKSON DDS,MS PLLC
Active
Other names
jackson orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED MANWUEL JACKSON DDS (OWNER)
(704) 464-0696
Entity
Organization
Contact information
Practice address
13731 STEELE CREEK RD, CHARLOTTE, NC 28273
(704) 464-0696
(704) 464-5630
Mailing address
13731 STEELE CREEK RD, CHARLOTTE, NC 28273
(704) 464-0696
(704) 464-5630
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8527
NC
Other
Enumeration date
10/20/2010
Last updated
10/02/2024
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