Faircloth, W. Jackson

Faircloth, W. Jackson is an individual health care provider with primary practice located at 244 Hydraulic Ridge Rd , Charlottesville VA 22901-8124. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Faircloth, W. Jackson can be contacted via phone (434) 973-3348.

Contact Information

Primary practice address
244 Hydraulic Ridge Rd Charlottesville VA 22901-8124
Phone: (434) 973-3348
Fax: (434) 977-5790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401005586 Virginia

Profile Details

NPI number 1679595003
LBN Legal business name Faircloth, W. Jackson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers