Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Pediatric Dentistry of Summerville

Organization Pediatric Dentistry · NPI 1962981142

Jackson Pediatric Dentistry of Summerville provides Pediatric Dentistry in Summerville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018

Practice location Address checks out

405 W 4th St N
Summerville, SC 29483
Phone: (843) 376-3161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 911 (SC)

Record details

NPI number1962981142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Jackson — Owner · (910) 620-7881
NPI enumeratedAugust 9, 2018
Last updated in NPPESAugust 9, 2018
Mailing address303 Branch Creek Trl, Summerville, SC 29483-5338

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