| Susanne P. Jackson, Dds, Pa | |
|
77 Vilcom Center Dr Ste 180 Chapel Hill NC 27514-1789 | |
| (919) 968-9874 | |
| (919) 869-1335 |
| Full Name | Susanne P. Jackson, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 77 Vilcom Center Dr Ste 180, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Lisa G Edwards (OFFICE MANAGER) |
| Authorized Official Contact | 9199689874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanne P. Jackson, Dds, Pa 77 Vilcom Center Dr Ste 180 Chapel Hill NC 27514-1789 Ph: (919) 968-9874 | Susanne P. Jackson, Dds, Pa 77 Vilcom Center Dr Ste 180 Chapel Hill NC 27514-1789 Ph: (919) 968-9874 |
| NPI Number | 1417666595 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417666595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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