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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

97 SMILES OF JACKSON
NPI 1104743624
Dentist in Jackson, MI

Active since July 06, 2026
826 N WISNER ST, JACKSON, MI 49202(517) 787-0401 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 97 Smiles Of Jackson NPPES

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

97 SMILES OF JACKSON (NPI 1104743624) is a healthcare organization registered as a dentist in Jackson, Michigan and active in the NPI registry since July 2026. The organization lists Susan Dunford, Billing & Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104743624
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business Name97 SMILES OF JACKSON
Location Address826 N WISNER STJackson, MI 49202-3141
Mailing Address826 N Wisner StJackson, MI 49202-3141 · (517) 787-0401
Phone(517) 787-0401
Organization SubpartNo
Authorized OfficialSusan DunfordBilling & Credentialing Manager · (734) 788-8712
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 5, 2026
✔ NPI 1104743624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
826 N WISNER ST, Jackson, MI 49202
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DANIEL J PRICE DDS
Dentist (General Practice)
826 N WISNER ST
JACKSON, MI 49202
Jackson County (517) 787-0401

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 97 Smiles Of Jackson's NPI number?

The NPI number for 97 Smiles Of Jackson is 1104743624. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is 97 Smiles Of Jackson located?

97 Smiles Of Jackson is located at 826 N Wisner St, Jackson, MI 49202. The listed phone number is (517) 787-0401.

What is 97 Smiles Of Jackson'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 97 Smiles Of Jackson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.