OrganizationActive
Susanne P. Jackson, DDS, PA
NPI 1417666595 · Dentist · Chapel Hill, NC
Susanne P. Jackson, DDS, PA is a Dentist organization in Chapel Hill, NC (NPI 1417666595).
Provider details
- NPI number
- 1417666595
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Edwards, Office Manager(919) 968-9874
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
77 Vilcom Center Dr Ste 180
Chapel Hill, NC 27514-1789
Phone: (919) 968-9874
Fax: (919) 869-1335
Approximate (ZIP-level) locationGet directions
Mailing address
77 Vilcom Center Dr Ste 180
Chapel Hill, NC 27514-1789
Registry dates
- Enumerated
- 2022-11-17
- Last updated
- 2022-11-17
- Certified
- 2022-11-11
Frequently asked questions
- What is Susanne P. Jackson, DDS, PA's NPI number?
- Susanne P. Jackson, DDS, PA's National Provider Identifier (NPI) is 1417666595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susanne P. Jackson, DDS, PA?
- Susanne P. Jackson, DDS, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Susanne P. Jackson, DDS, PA located?
- Susanne P. Jackson, DDS, PA's practice location on file with NPPES is 77 Vilcom Center Dr Ste 180, Chapel Hill, NC 27514-1789.
- What is Susanne P. Jackson, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Susanne P. Jackson, DDS, PA is (919) 968-9874.
- Who is the authorized official for Susanne P. Jackson, DDS, PA?
- The authorized official listed on Susanne P. Jackson, DDS, PA's NPPES record is Lisa Edwards, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susanne P. Jackson, DDS, PA's NPI active?
- Yes — Susanne P. Jackson, DDS, PA's NPI (1417666595) is active in the NPPES registry as of the last update on 2022-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.