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Dr. Carl Jackson Jr., DDS

General Practice Dentistry in Columbia, SC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265510457

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Registry record

Entity type Individual (Type 1)
Name Dr. Carl Jackson Jr.
Credential DDS
Sex Male
Practice address 121 Wildewood Park Dr, Columbia, SC, 29223
Phone (803) 736-5300
Fax (803) 736-1422
Enumeration date Nov 2, 2006
Last updated in NPPES Aug 20, 2024

Taxonomy & licenses

122300000X Dentist Dental Providers · License 12010844A (IN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License 7045 (SC) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
PENDING Medicaid SC -
200865730A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1265510457 active?
Yes, as of the latest NPPES snapshot, NPI 1265510457 is active (record last updated 2024-08-20).
How do I verify Carl Jackson's NPI record?
Cross-check NPI 1265510457 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-20.