Jackson Dental

Dentist · Lapeer, MI

Organization Active NPI

NPI number 1407120504

Practice location

456 S Main St
Lapeer, MI 48446-2427
Phone
(810) 667-3535
Fax
(810) 245-5723

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NPI record

NPI
1407120504
Entity type
Organization (Type 2)
Enumeration date
March 7, 2012
Last updated
May 4, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — —

Authorized official

Name
Dr. Thomas Dirk Jackson, DDS
Title
Owner
Phone
(810) 667-3535

About Jackson Dental

Jackson Dental is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 456 S Main St, Lapeer, MI 48446-2427. The NPI number 1407120504 was assigned on March 7, 2012 and the record was last updated on May 4, 2017.

The authorized official for this organization is Dr. Thomas Dirk Jackson, DDS, Owner.

Frequently asked questions

What is the NPI number of Jackson Dental?

The NPI number is 1407120504.

What is the phone number of Jackson Dental?

The phone number listed for the practice location is (810) 667-3535.

Where is Jackson Dental located?

456 S Main St, Lapeer, MI 48446-2427.

What is the taxonomy code for Jackson Dental?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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