Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP RODNEY JACKSON, D.M.D
ActiveDR. PHILIP RODNEY JACKSON, D.M.D is a General Dentistry healthcare provider located in COLUMBIA, South Carolina. NPI 1790963916 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · COLUMBIA, SC
Registration Details
- NPI Number
- 1790963916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2008 (18.520459773515 yrs)
- Last Updated
- Sep 30, 2022
- Licenses
-
2416 (SC)2416 (SC)
Practice Information
- Address
-
857 SHORE VIEW DRCOLUMBIA, SC, 292128365Browse SC providers · Browse ZIP 29212
- Phone
- 8036095216
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL R MACO | D.D.S. | 1689679706 |
| DR. WILLIAM LYNN CAMPBELL | DMD | 1184629842 |
| DR. KYONG HI KIM | DDS | 1184608226 |
| DR. WILLIAM SAMUEL JOHNSON | DMD | 1548244197 |
| DR. MICHAEL S SMITH | DDS | 1093793275 |
| DR. JOHN P KLEITCHES | D.M.D. | 1245200245 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.