DR. STEPHANIE LYNN JACKSON DDS, MS
NPI 1992904155
Dentist - General Practice in Charlotte, NC

Q: What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1992904155. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2007

13521 STEELECROFT PKWY, SUITE 100, CHARLOTTE, NC 28278(704) 714-5380(704) 714-5380 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Stephanie Lynn Jackson Dds, Ms NPPES

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

DR. STEPHANIE LYNN JACKSON DDS, MS (NPI 1992904155) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (8412) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1992904155

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. STEPHANIE LYNN JACKSONCredential: DDS, MS

Location Address13521 STEELECROFT PKWY, SUITE 100Charlotte, NC 28278-7545

Mailing Address13521 Steelecroft Pkwy, Suite 100Charlotte, NC 28278-7545 · (704) 714-5380 · Fax (704) 714-5380

Phone(704) 714-5380

Fax(704) 714-5380

Sole ProprietorNo

Enumeration DateJuly 17, 2007

Last NPPES UpdateSeptember 30, 2010

✔ NPI 1992904155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 8412

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

13521 STEELECROFT PKWY, Charlotte, NC 28278

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Other Identifiers 2

Medicare UPIN7328546NC

Medicaid5911548NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVE OAKS OCTAGON

Pharmacy

13521 STEELECROFT PKWY
CHARLOTTE, NC 28278

Mecklenburg County (646) 729-7578

SHEILA MARIE ARAUJO FNP-BC

Nurse Practitioner (Family)

13521 STEELECROFT PKWY
CHARLOTTE, NC 28278

Mecklenburg County (704) 315-5845

CLEAR VIEW EYE CARE OD PA

Optometrist

13521 STEELECROFT PKWY, SUITE B
CHARLOTTE, NC 28278

Mecklenburg County (704) 708-5659

YVETTE WALKER N.P.

Nurse Practitioner (Family)

13521 STEELECROFT PKWY
CHARLOTTE, NC 28278

Mecklenburg County (704) 315-5845

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 Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1992904155. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 13521 Steelecroft Pkwy Suite 100, Charlotte, NC 28278. The listed phone number is (704) 714-5380.

What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stephanie Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina list Stephanie Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.