OrganizationActive
A M Jackson & Associates DDS Ms PLLC
NPI 1710461520 · Orthodontics and Dentofacial Orthopedics Dentistry · Charlotte, NC
Provider details
- NPI number
- 1710461520
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Kati Randisi, Business Manager
Practice location
8430 University Exec Park Dr Ste 605
Charlotte, NC 28262-1353
Phone: (704) 549-1926
Mailing address
8430 University Exec Park Dr Ste 605
Charlotte, NC 28262-1353
Registry dates
- Enumerated
- 2018-09-18
- Last updated
- 2018-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.