Craig W Jackson DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3926 Issued in SC

Legal business name

CRAIG W JACKSON DDS

Practice address

25 Hospital Center Blvd Suite 102
Hilton Head Island, SC 29926-2735

Phone

(843) 689-5500

Fax

(843) 689-6600

NPI assigned

May 14, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Craig William Jackson, DDSNPI 1235192469

Title

Dentist

Phone

(843) 689-5500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig W Jackson, DDS

  • General Practice Dentistry
  • Hilton Head Island, SC
  • NPI 1235192469
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1063689586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD SUITE 102",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262735",
            "telephone_number": "843-689-5500",
            "fax_number": "843-689-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD SUITE 102",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262735",
            "telephone_number": "843-689-5500",
            "fax_number": "843-689-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG W JACKSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-689-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Hale Couzens, D.M.D.
• Callie Covington, PA-C
• Maci Shaw Craine, OTR/L
• Lindsey K Crawford, NP-C
• Lerryn U Crocker, ADN BSN MSN FNP
• Ashley Cubbage, SLP
• CVS Pharmacy

• General Practice Dentistry in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.