OrganizationActive
Jackson Pediatric Dentistry of Summerville
NPI 1962981142 · Pediatric Dentistry · Summerville, SC
Jackson Pediatric Dentistry of Summerville is a Pediatric Dentistry organization in Summerville, SC (NPI 1962981142).
Provider details
- NPI number
- 1962981142
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Jackson, Owner(910) 620-7881
- License
- 911 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
405 West 4th Street North
Summerville, SC 29483
Phone: (843) 376-3161
Street-level locationGet directions
Mailing address
303 Branch Creek Trl
Summerville, SC 29483-5338
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2018-08-09
Frequently asked questions
- What is Jackson Pediatric Dentistry of Summerville's NPI number?
- Jackson Pediatric Dentistry of Summerville's National Provider Identifier (NPI) is 1962981142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Pediatric Dentistry of Summerville?
- Jackson Pediatric Dentistry of Summerville is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jackson Pediatric Dentistry of Summerville located?
- Jackson Pediatric Dentistry of Summerville's practice location on file with NPPES is 405 West 4th Street North, Summerville, SC 29483.
- What is Jackson Pediatric Dentistry of Summerville's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pediatric Dentistry of Summerville is (843) 376-3161.
- Who is the authorized official for Jackson Pediatric Dentistry of Summerville?
- The authorized official listed on Jackson Pediatric Dentistry of Summerville's NPPES record is Jeffrey Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Pediatric Dentistry of Summerville's NPI active?
- Yes — Jackson Pediatric Dentistry of Summerville's NPI (1962981142) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.