What is Philip Jackson's NPI number?

Philip Jackson's National Provider Identifier (NPI) is 1790963916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Philip Jackson's specialty?

Philip Jackson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Philip Jackson located?

Philip Jackson's practice location on file with NPPES is 857 Shore View Dr, Columbia, SC 29212-8365.

What is Philip Jackson's phone number?

The practice phone number listed in the NPPES registry for Philip Jackson is (803) 609-5216.

Is Philip Jackson's NPI active?

Yes — Philip Jackson's NPI (1790963916) is active in the NPPES registry as of the last update on 2022-09-30.

IndividualActive

Philip Jackson, D.M.D

NPI 1790963916 · General Practice Dentistry · Columbia, SC

Philip Jackson, D.M.D is a General Practice Dentistry provider in Columbia, SC (NPI 1790963916).

Provider details

NPI number: 1790963916
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.M.D
Sex: Male
Sole proprietor: No
License: 2416 (SC)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 2416 (SC)
Dental Providers
Dentist122300000XLicense 2416 (SC)
Dental Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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

857 Shore View Dr

Columbia, SC 29212-8365

Phone: (803) 609-5216

Street-level locationGet directions

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Mailing address