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CRAIG W JACKSON DDS NPI 1063689586


NPI Information

NPI: 1063689586
Provider Name: CRAIG W JACKSON DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
25 HOSPITAL CENTER BLVD SUITE 102
HILTON HEAD ISLAND, SC
ZIP 29926
Phone: (843) 689-5500
Get Directions

CRAIG W JACKSON DDS is a general practice dentist in Hilton Head Island, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CRAIG W JACKSON DDS NPI is 1063689586. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 HOSPITAL CENTER BLVD SUITE 102
HILTON HEAD ISLAND, SC
ZIP 29926-735
Phone: (843) 689-5500
Fax: (843) 689-6600

The provider's authorized official is Craig William Jackson .
The authorized official title is Dentist and has the following contact phone number (843) 689-5500.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3926SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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