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Search › South Carolina › 1223G0001X

Carl Jackson, DDS

NPI 1265510457 · on the registry since 2006

Practice

Address
121 Wildewood Park Dr
Columbia, SC 29223
Phone
(803) 736-5300
Fax
(803) 736-1422
Organisation at this address
32dental
Lockhart Dental Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
IN, SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina