| NPI | 1548738636 |
|---|---|
| Doing Business As | JACKSON SMILE STUDIO |
| Entity Type | Organization |
| Authorized Contact | JENNI TOMLINSON Credentialing Specialist 803-678-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-10-09 |