| Clark And Jackson Pd, Llc | |
|
1690 Highway 160 W Ste A Fort Mill SC 29708-8024 | |
| (803) 548-2333 | |
| Not Available |
| Full Name | Clark And Jackson Pd, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1690 Highway 160 W Ste A, Fort Mill, South Carolina |
| Authorized Official Name and Position | Stephanie Jackson (OWNER) |
| Authorized Official Contact | 8035482333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark And Jackson Pd, Llc 1690 Highway 160 W Ste A Fort Mill SC 29708-8024 Ph: (803) 548-2333 | Clark And Jackson Pd, Llc 1690 Highway 160 W Ste A Fort Mill SC 29708-8024 Ph: (803) 548-2333 |
| NPI Number | 1811598493 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811598493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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