Organization
ALFRED M. JACKSON DDS,MS PLLC
Active
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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