Brent Jackson, D.D.S.

Dentist · Lapeer, MI

Individual Active NPI

NPI number 1447665013

Practice location

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

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NPI record

NPI
1447665013
Entity type
Individual (Type 1)
Enumeration date
June 23, 2014
Last updated
June 23, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901021258 MI

About Dr. Jackson

Brent Jackson, D.D.S. is a healthcare provider 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 1447665013 was assigned on June 23, 2014 and the record was last updated on June 23, 2014.

Dr. Jackson lists a license in the registry: #2901021258 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brent Jackson, D.D.S.?

The NPI number is 1447665013.

What is the phone number of Dr. Jackson?

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

Where is Dr. Jackson located?

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

What is the taxonomy code for Dr. Jackson?

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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