Jackson, Richard

Jackson, Richard is an individual health care provider with primary practice located at 2759 Whiskey Rd , Aiken SC 29803-6197. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jackson, Richard can be contacted via phone (803) 649-3411.

Contact Information

Primary practice address
2759 Whiskey Rd Aiken SC 29803-6197
Phone: (803) 649-3411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3492 South Carolina

Profile Details

NPI number 1629409420
LBN Legal business name Jackson, Richard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Dec 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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