Organization · Type 2 NPI
Jackson Dental Innovations PLLC
Dental Clinic/Center · Jackson, MI
NPI number
1548027063
Active
Practice location
1931 Horton Rd Ste 14
Jackson, MI 49203-5599
Fax (517) 787-2575
Mailing address
190 Plymouth Rd
Plymouth, MI 48170-1447
Other practice locations
- 306 W Washington Ave Ste 204, Jackson, MI 49201-2141 · (517) 787-8880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1548027063
Jackson Dental Innovations PLLC's National Provider Identifier is 1548027063, issued on Mar 1, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jackson, MI. The record was last updated on Mar 7, 2024.