Organization · Type 2 NPI

Carepoint Dental Anesthesia Group of Michigan, PLLC

Dental Anesthesiology · Grand Rapids, MI

NPI number 1487262820 Active

Practice location

1179 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3682

Call (616) 226-1370 Map

Fax (616) 327-6370

Mailing address

8301 E Prentice Ave Ste 215
Greenwood Village, CO 80111-2990

Specialties and licenses

Taxonomy	Code	License
Dental Anesthesiology Primary	1223D0004X	None listed

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

4 other providers at this address

NPI record

NPI: 1487262820
Entity type: Organization (Type 2)
Issued: Jul 22, 2020
Last updated: Apr 25, 2022
Status: Active

Other names

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Carepoint Anesthesia Group of Michigan, LLC · other name
Carepoint Dental Anesthesia Group of Michigan, PLLC · other name

Authorized official

Dr. Joshua Jackstien, DMD
Owner/managing Partner
(720) 414-3611

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487262820

Carepoint Dental Anesthesia Group of Michigan, PLLC's National Provider Identifier is 1487262820, issued on Jul 22, 2020. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 25, 2022.