Dr Carl Jackson Jr, DDS - Medicare Dentist in Columbia, SC

Dr Carl Jackson Jr, DDS is a medicare enrolled "Dentist - General Practice" provider in Columbia, South Carolina. His current practice location is 145 Pelham Dr, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 661-8412.

Dr Carl Jackson Jr is licensed to practice in South Carolina (license number 7045) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265510457.

Contact Information

Dr Carl Jackson Jr, DDS
145 Pelham Dr,
Columbia, SC 29209-1321
(803) 661-8412
(803) 661-8415



Healthcare Provider's Profile

Full NameDr Carl Jackson Jr
GenderMale
SpecialityDentist - General Practice
Location145 Pelham Dr, Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265510457
  • Provider Enumeration Date: 11/02/2006
  • Last Update Date: 07/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3274764238
  • Enrollment ID: I20161121002242

Medical Identifiers

Medical identifiers for Dr Carl Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265510457NPI-NPPES
200865730AMedicaidIN
PENDINGMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12010844A (Indiana)Secondary
1223G0001XDentist - General Practice 7045 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl Jackson Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carl Jackson Jr, DDS
145 Pelham Dr,
Columbia, SC 29209-1321

Ph: (803) 661-8412
Dr Carl Jackson Jr, DDS
145 Pelham Dr,
Columbia, SC 29209-1321

Ph: (803) 661-8412

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Dentist in Columbia, SC

Dr. Christopher Robnett, D.M.D
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Phone: 803-736-1024    Fax: 803-699-3284
Katelyn Nevitt, DMD
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Dr. Howard Stone Denny Jr., DMD
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Phone: 803-782-0965    Fax: 803-782-3404
Me'chell Littatta James, DMD
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Phone: 803-691-9930    Fax: 803-691-9322
Dr. Sarah Anne H Knowlton,
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Practice Location: 3731 Forest Dr, Columbia, SC 29204
Phone: 803-782-8786    
Dr. Louis Roncaglione, DDS
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Practice Location: 1320 Elmtree Rd, Columbia, SC 29209
Phone: 803-783-9900    

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