ANDREW SCOTT JACKSON, DDS, PA (NPI# 1225580533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225580533 |
| Entity Type | Organization |
| Organization Name | ANDREW SCOTT JACKSON, DDS, PA |
| Practice Address |
1303 South Pearl St Pageland SC 29728-0245 |
| Mailing Address |
P.o. Box 245 1303 South Pearl Street Pageland SC 29728-0245 |
| Practice Telephone | 8436722444 |
| Mailing Telephone | 8436722444 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | DR. ANDREW SCOTT JACKSON (OWNER) |
| Authorized Official Telephone | 8436722444 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8657 | SC | Dental Providers |
| Street Address |
1303 SOUTH PEARL ST |
| City | PAGELAND |
| State | SC |
| Zip Code | 29728-0245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538419619 | Debra Blackwell | Pharmacist | 205 North Van Lingle Mungo Blvd, Pageland, SC 29728 | 2012-09-14 |
| 1740482934 | M&s Investments, LLC | Durable Medical Equipment & Medical Supplies | 214 S. Van Lingle Mungo Blvd., Pageland, SC 29728 | 2007-06-01 |
| 1255472627 | M & S Investments LLC | Pharmacy | 214 South Van Lingle Mungo Blvd, Pageland, SC 29728 | 2007-02-09 |
| 1053414722 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 205 N Van Lingle Mungo Blvd, Pageland, SC 29728 | 2006-09-07 |
| 1871544130 | Sonya C Sims | Durable Medical Equipment & Medical Supplies | 128 N Maple Street, Pageland, SC 29728 | 2006-05-12 |
| 1356344675 | Charles T. Powell Jr. | Dentist | 1303 South Pearl Street, Pageland, SC 29728 | 2005-05-31 |
| 1831611342 | Dayle Bentley Helms | Pharmacist | 214 South Van Lingle Mungo Blvd, Pageland, SC 29728 | 2017-07-17 |
| 1760732614 | Ronald Eli Dickerson Jr. | Pharmacist | 205 North Van Lingle Mungo Blvd, Pageland, SC 29728 | 2012-09-18 |
| 1992735989 | Pageland Family Medicine | Family Medicine | 301 N Van Lingle Mungo Blvd, Pageland, SC 29728 | 2006-07-04 |
| 1184799561 | Union Physicians Network Inc | Durable Medical Equipment & Medical Supplies | 301 N Van Lingle Mungo Blvd., Pageland, SC 29728-0278 | 2006-11-21 |
| Find all providers in zip 29728 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992839708 | Thomas M. Hendley, D.m.d., P.a. | Dentist | 124 S Pearl St, Pageland, SC 29728-2254 | 2007-03-15 |
| 1356344675 | Charles T. Powell Jr. | Dentist | 1303 South Pearl Street, Pageland, SC 29728 | 2005-05-31 |
| 1770769713 | Anastasia Voronina | Dentist | 124 S Pearl St, Pageland, SC 29728-2254 | 2008-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.