| Dr Carl Jackson Jr, DDS | |
|
121 Wildewood Park Dr, Columbia, SC 29223-4300 | |
| (803) 736-5300 | |
| (803) 736-1422 |
| Full Name | Dr Carl Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 121 Wildewood Park Dr, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265510457 | NPI | - | NPPES |
| PENDING | Medicaid | SC | |
| 200865730A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010844A (Indiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 7045 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carl Jackson Jr, DDS 121 Wildewood Park Dr, Columbia, SC 29223-4300 Ph: (803) 736-5300 | Dr Carl Jackson Jr, DDS 121 Wildewood Park Dr, Columbia, SC 29223-4300 Ph: (803) 736-5300 |
Dr. Christopher Robnett, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brickyard Rd, Columbia, SC 29223 Phone: 803-736-1024 Fax: 803-699-3284 | |
Katelyn Nevitt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 W Killian Rd, Columbia, SC 29203 Phone: 803-814-0102 | |
Dr. Deidre Berger Crockett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5251 Forest Dr, Columbia, SC 29206 Phone: 803-787-9793 Fax: 803-738-0300 | |
Dr. Howard Stone Denny Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5211 N Trenholm Rd, Columbia, SC 29206 Phone: 803-782-0965 Fax: 803-782-3404 | |
Me'chell Littatta James, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3000 Two Notch Rd, Columbia, SC 29204 Phone: 803-691-9930 Fax: 803-691-9322 | |
Dr. Sarah Anne H Knowlton, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3731 Forest Dr, Columbia, SC 29204 Phone: 803-782-8786 | |
Dr. Louis Roncaglione, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Elmtree Rd, Columbia, SC 29209 Phone: 803-783-9900 |