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DR. TEDDERS OFFICE PLLC
NPI 1023681772
Clinic/Center - Dental in Jackson, MI

Active since July 21, 2021
3595 ANN ARBOR RD, JACKSON, MI 49202(517) 748-9440(517) 748-9442 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tedders Office Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TEDDERS OFFICE PLLC (NPI 1023681772) is a healthcare organization registered as a dental in Jackson, Michigan and active in the NPI registry since July 2021. The organization lists Heidi Kies, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1023681772
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR. TEDDERS OFFICE PLLC
Location Address3595 ANN ARBOR RDJackson, MI 49202-2703
Mailing Address3595 Ann Arbor RdJackson, MI 49202-2703 · (517) 748-9440 · Fax (517) 748-9442
Phone(517) 748-9440
Fax(517) 748-9442
Organization SubpartNo
Authorized OfficialHeidi KiesAdministrative Assistant · (517) 748-9440
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1023681772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3595 ANN ARBOR RD, Jackson, MI 49202
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CENTER FOR SIGHT P.C.
Specialist
3595 ANN ARBOR RD
JACKSON, MI 49202
Jackson County (517) 748-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Tedders Office PLLC's NPI number?

The NPI number for Dr. Tedders Office PLLC is 1023681772. It was assigned to this organization in the NPPES registry on July 21, 2021.

Where is Dr. Tedders Office PLLC located?

Dr. Tedders Office PLLC is located at 3595 Ann Arbor Rd, Jackson, MI 49202. The listed phone number is (517) 748-9440.

What is Dr. Tedders Office PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dr. Tedders Office PLLC was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.