Organization
A.M. JACKSON DDS MS PLLC
Active
Organization
A.M. JACKSON DDS MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED M. JACKSON (OWNER)
(352) 256-8164
Entity
Organization
Contact information
Practice address
13731 STEELE CREEK RD STE B, CHARLOTTE, NC 28273-6841
(352) 256-8164
Mailing address
13731 STEELE CREEK RD, CHARLOTTE, NC 28273-6841
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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