OrganizationActive
Jackson Pediatric Dentistry LLC
NPI 1144679507 · Pediatric Dentistry · Rock Hill, SC
Jackson Pediatric Dentistry LLC is a Pediatric Dentistry organization in Rock Hill, SC (NPI 1144679507).
Provider details
- NPI number
- 1144679507
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Jackson, Pediatric Dentist(919) 412-4199
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1236 Ebenezer Rd
Suite 110
Rock Hill, SC 29732-3390
Phone: (803) 324-7540
Fax: (803) 324-4128
Street-level locationGet directions
Mailing address
1686 Highway 160 W
Fort Mill, SC 29708-8024
Registry dates
- Enumerated
- 2016-06-07
- Last updated
- 2016-08-03
Frequently asked questions
- What is Jackson Pediatric Dentistry LLC's NPI number?
- Jackson Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1144679507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Pediatric Dentistry LLC?
- Jackson Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jackson Pediatric Dentistry LLC located?
- Jackson Pediatric Dentistry LLC's practice location on file with NPPES is 1236 Ebenezer Rd, Rock Hill, SC 29732-3390.
- What is Jackson Pediatric Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pediatric Dentistry LLC is (803) 324-7540.
- Who is the authorized official for Jackson Pediatric Dentistry LLC?
- The authorized official listed on Jackson Pediatric Dentistry LLC's NPPES record is Stephanie Jackson, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Pediatric Dentistry LLC's NPI active?
- Yes — Jackson Pediatric Dentistry LLC's NPI (1144679507) is active in the NPPES registry as of the last update on 2016-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.