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Contact Information

ANDREW SCOTT JACKSON, DDS, PA
1303 SOUTH PEARL ST
PAGELAND, SC29728-0245
 Phone: 843-672-2444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANDREW SCOTT JACKSON, DDS, PA

NPI Number 1225580533
LBN Legal business name ANDREW SCOTT JACKSON, DDS, PA
Authorized official ANDREW JACKSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2016
Last updated 09/25/2024 - More than a year ago
Identifiers
SC License # 8657
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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