Smith, Edward Angus Jackson

Smith, Edward Angus Jackson is an individual health care provider with primary practice located at 5102 Paulsen St Bldg 8 , Savannah GA 31405-4624. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Smith, Edward Angus Jackson can be contacted via phone (912) 655-8855.

Contact Information

Primary practice address
5102 Paulsen St Bldg 8 Savannah GA 31405-4624
Fax: (912) 335-6564
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10315 South Carolina
Dental Providers / Dentist 122300000X DN27476 Florida
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN122890 Georgia
Dental Providers / Dentist 122300000X DN122890 Georgia

Profile Details

NPI number 1568183473
LBN Legal business name Smith, Edward Angus Jackson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2022
Last updated Sep 12th, 2022 - about 3 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.

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