| Jackson Orthodontics | |
|
13527 Steelecroft Pkwy Suite C Charlotte NC 28278 | |
| (352) 256-8164 | |
| Not Available |
| Full Name | Jackson Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 13527 Steelecroft Pkwy, Charlotte, North Carolina |
| Authorized Official Name and Position | Alfred Manwuel Jackson (MANAGER/ORTHODONTIST) |
| Authorized Official Contact | 3522568164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Orthodontics 125 W. Tremont Ave. Apt# 833 Charlotte NC 28203 Ph: () - | Jackson Orthodontics 13527 Steelecroft Pkwy Suite C Charlotte NC 28278 Ph: (352) 256-8164 |
| NPI Number | 1922318195 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922318195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8527 (North Carolina) | Primary |
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