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

Jackson Dean

Individual provider Internal Medicine Physician · NPI 1912602640

Jackson Dean is an Internal Medicine Physician in Greenville, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 455-7882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1918 Randolph Rd Ste 350, Charlotte, NC 28207-1111 — (704) 384-1750

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 202602523 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL90194 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912602640
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2023
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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