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ALFRED M. JACKSON DDSMS PLLC NPI 1922318195

NPI Profile

NPI: 1922318195

Provider Name: ALFRED M. JACKSON DDS,MS PLLC

Doing Business As: JACKSON ORTHODONTICS

Classification: Dentist - 1223X0400X

Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
13527 STEELECROFT PKWY
SUITE C
CHARLOTTE, NC
ZIP 28278

Phone: (352) 256-8164

ALFRED M. JACKSON DDS,MS PLLC is an orthodontics and dentofacial orthopedics dentist in Charlotte, NC. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. ALFRED M. JACKSON DDS,MS PLLC NPI is 1922318195. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jackson Orthodontics.

The provider's business location address is:

13527 STEELECROFT PKWY
SUITE C
CHARLOTTE, NC
ZIP 28278
Phone: (352) 256-8164

The provider's authorized official is Alfred Manwuel Jackson .
The authorized official title is Manager/orthodontist and has the following contact phone number (352) 256-8164.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

Map - Location of Practice

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
1 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics 8527 NORTH CAROLINA Yes

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: 8/11/2015