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

Dr. Carl Jackson Jr., DDS

Individual provider Dentist · NPI 1265510457

Dr. Carl Jackson Jr., DDS is a Dentist in Columbia, South Carolina. Licensed in Indiana and South Carolina. Registered with an NPI since 2006.

Licensed in
IN, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

121 Wildewood Park Dr
Columbia, SC 29223-4300
Phone: (803) 736-5300
Fax: (803) 736-1422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7045 (SC)
Dentist Taxonomy 122300000X · Licence 12010844A (IN)

Record details

NPI number1265510457
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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