Individual
MR. RICHARD J JACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1204 TWO ISLAND CT, MT PLEASANT, SC 29466-7436
(843) 881-8881
(843) 881-7828
Mailing address
2436 BRICK LANDING CT, MT PLEASANT, SC 29466-8049
(843) 216-8784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2996
SC
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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