Individual provider · Type 1 NPI

Bruce Arden Jackson Ii, DDS

General Practice Dentistry · Grand Rapids, MI

NPI number 1720039878 Active

Practice location

4829 E Beltline Ave NE
Grand Rapids, MI 49525-9747

Call (616) 363-8707 Map

Fax (616) 363-0390

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X13162 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1720039878

Bruce Arden Jackson Ii, DDS's National Provider Identifier is 1720039878, issued on May 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 13, 2026.