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

Jackson Pediatric Dentistry of Summerville

Organization Pediatric Dentistry · NPI 1962981142

Jackson Pediatric Dentistry of Summerville is a 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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