Susanne P. Jackson, Dds, PA

NPI #1417666595 in Chapel Hill, North Carolina

Provider Information

NPI Number: 1417666595
Entity Type: Organization
Organization Name: Susanne P. Jackson, Dds, PA
Primary Specialty: Dentist
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 77 VILCOM CENTER DR STE 180
City: Chapel Hill
State: North Carolina
ZIP Code: 27514-1789
Phone: (919) 968-9874

Authorized Official

Name: MRS. LISA G EDWARDS
Title: OFFICE MANAGER
Phone: (919) 968-9874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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