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JACKSON SMILE STUDIO, LLC
NPI 1871771097
Dentist in Columbia, SC

Active since February 11, 2008
3790 FERNANDINA RD, SUITE 201, COLUMBIA, SC 29210(803) 750-0044(803) 750-0021 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Smile Studio, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON SMILE STUDIO, LLC (NPI 1871771097) is a healthcare organization registered as a dentist in Columbia, South Carolina and active in the NPI registry since February 2008. The organization lists Philip Rodney Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1871771097
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJACKSON SMILE STUDIO, LLC
Location Address3790 FERNANDINA RD, SUITE 201Columbia, SC 29210-3864
Mailing Address3790 Fernandina Rd, Suite 201Columbia, SC 29210-3864 · (803) 750-0044 · Fax (803) 750-0021
Phone(803) 750-0044
Fax(803) 750-0021
Organization SubpartNo
Authorized OfficialPhilip Rodney JacksonPresident · (803) 750-0044
Enumeration DateFebruary 11, 2008
✔ NPI 1871771097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 2416
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3790 FERNANDINA RD, Columbia, SC 29210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Smile Studio, LLC's NPI number?

The NPI number for Jackson Smile Studio, LLC is 1871771097. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is Jackson Smile Studio, LLC located?

Jackson Smile Studio, LLC is located at 3790 Fernandina Rd Suite 201, Columbia, SC 29210. The listed phone number is (803) 750-0044.

What is Jackson Smile Studio, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jackson Smile Studio, LLC was last updated on February 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.