Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1144679507

Jackson Pediatric Dentistry LLC is a Pediatric Dentistry in Rock Hill, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1236 Ebenezer Rd Ste 110
Rock Hill, SC 29732-3390
Phone: (803) 324-7540
Fax: (803) 324-4128
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1144679507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Jackson — Pediatric Dentist · (919) 412-4199
NPI enumeratedJune 7, 2016
Last updated in NPPESAugust 3, 2016
Mailing address1686 Highway 160 W, Fort Mill, SC 29708-8024

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