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

Susanne P. Jackson, DDS, PA

Organization Dentist · NPI 1417666595

Susanne P. Jackson, DDS, PA is a Dentist in Chapel Hill, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Vilcom Center Dr Ste 180
Chapel Hill, NC 27514-1789
Phone: (919) 968-9874
Fax: (919) 869-1335
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1417666595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Edwards — Office Manager · (919) 968-9874
NPI enumeratedNovember 17, 2022
Last updated in NPPESNovember 17, 2022
Certification dateNovember 11, 2022
Mailing address77 Vilcom Center Dr Ste 180, Chapel Hill, NC 27514-1789

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