NPI 1710461520 · live from the CMS NPI Registry
A M Jackson & Associates DDS Ms PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Charlotte, NC. National Provider Identifier 1710461520, active.
NPI record
| NPI | 1710461520 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8430 University Exec Park Dr Ste 605, Charlotte, NC 28262 |
| Practice phone | 704-549-1926 |
| Enumerated | September 18, 2018 |
| Last updated | September 18, 2018 |
| Authorized official | Kati Randisi, Business Manager |
| Other names | University Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.