OrganizationActive
Clark and Jackson Pd, LLC
NPI 1811598493 · Pediatric Dentistry · Fort Mill, SC
Clark and Jackson Pd, LLC is a Pediatric Dentistry organization in Fort Mill, SC (NPI 1811598493).
Provider details
- NPI number
- 1811598493
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Jackson, Owner(803) 548-2333
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1690 Highway 160 W Ste a
Fort Mill, SC 29708-8024
Phone: (803) 548-2333
Street-level locationGet directions
Mailing address
1690 Highway 160 W Ste a
Fort Mill, SC 29708-8024
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Frequently asked questions
- What is Clark and Jackson Pd, LLC's NPI number?
- Clark and Jackson Pd, LLC's National Provider Identifier (NPI) is 1811598493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark and Jackson Pd, LLC?
- Clark and Jackson Pd, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Clark and Jackson Pd, LLC located?
- Clark and Jackson Pd, LLC's practice location on file with NPPES is 1690 Highway 160 W Ste a, Fort Mill, SC 29708-8024.
- What is Clark and Jackson Pd, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clark and Jackson Pd, LLC is (803) 548-2333.
- Who is the authorized official for Clark and Jackson Pd, LLC?
- The authorized official listed on Clark and Jackson Pd, LLC's NPPES record is Stephanie Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark and Jackson Pd, LLC's NPI active?
- Yes — Clark and Jackson Pd, LLC's NPI (1811598493) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.