| Jackson Smile Studio | |
|
3790 Fernandina Rd Ste 201 Columbia SC 29210-3864 | |
| (803) 678-9999 | |
| (803) 750-0021 |
| Full Name | Jackson Smile Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3790 Fernandina Rd Ste 201, Columbia, South Carolina |
| Authorized Official Name and Position | Jenni Tomlinson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8036789999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Smile Studio 225 Townpark Dr Nw Ste 100 Kennesaw GA 30144-5885 Ph: () - | Jackson Smile Studio 3790 Fernandina Rd Ste 201 Columbia SC 29210-3864 Ph: (803) 678-9999 |
| NPI Number | 1548738636 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548738636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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