Jackson Pediatric Dentistry Llc

LBN: Jackson Pediatric Dentistry Llc
Jackson Pediatric Dentistry Llc is an health care organization with primary practice located at 1236 Ebenezer Rd Suite 110, Rock Hill SC 29732-3390. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Jackson Pediatric Dentistry Llc can be contacted via phone (803) 324-7540, or through Jackson, Stephanie Lynn via phone (919) 412-4199.

Contact Information

Primary practice address
1236 Ebenezer Rd Suite 110 Rock Hill SC 29732-3390
Phone: (803) 324-7540
Fax: (803) 324-4128
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Stephanie Lynn DDS, MS
Phone: (919) 412-4199

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1144679507
LBN Legal business name Jackson Pediatric Dentistry Llc
DBA Doing business as
Authorized official Jackson, Stephanie Lynn DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2016
Last updated Aug 3rd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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