| A.m. Jackson Dds Ms Pllc | |
|
13731 Steele Creek Rd Ste B Charlotte NC 28273-6841 | |
| (352) 256-8164 | |
| Not Available |
| Full Name | A.m. Jackson Dds Ms Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 13731 Steele Creek Rd Ste B, Charlotte, North Carolina |
| Authorized Official Name and Position | Alfred M. Jackson (OWNER) |
| Authorized Official Contact | 3522568164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.m. Jackson Dds Ms Pllc 13731 Steele Creek Rd Charlotte NC 28273-6841 Ph: () - | A.m. Jackson Dds Ms Pllc 13731 Steele Creek Rd Ste B Charlotte NC 28273-6841 Ph: (352) 256-8164 |
| NPI Number | 1982337333 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982337333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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