Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKSON LOUIS NORTHOUSE DDS
NPI 1073443958
Dentist in Wyoming, MI

Active since May 21, 2026
2024 HEALTH DR SW STE A, WYOMING, MI 49519(616) 455-7370 Get Directions Write a Review

NPPES record added: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Louis Northouse Dds NPPES

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

JACKSON LOUIS NORTHOUSE DDS (NPI 1073443958) is an individual dentist in Wyoming, Michigan, licensed in Michigan (2901603017) and active in the NPI registry since May 2026. He maintains a secondary practice location in Wayland.

NPPES Registry Identity

NPI1073443958
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJACKSON LOUIS NORTHOUSECredential: DDS
Location Address2024 HEALTH DR SW STE AWyoming, MI 49519-9501
Mailing Address2024 Health Dr Sw Ste AWyoming, MI 49519-9501
Sole ProprietorNo
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1073443958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901603017
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2024 HEALTH DR SW STE A, Wyoming, MI 49519

Secondary Practice Location 1

Location 112715 W M 179 HwyWayland, MI 49348-9318 · Phone (269) 792-9723

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 Jackson Northouse's NPI number?

The NPI number for Jackson Northouse is 1073443958. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Jackson Northouse located?

Jackson Northouse practices at 2024 Health Dr SW Ste A, Wyoming, MI 49519. The listed phone number is (616) 455-7370.

What is Jackson Northouse's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jackson Northouse was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.