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MR. SEAN JACKSON RDH
NPI 1114368917
Dental Hygienist in Detroit, MI

Active since July 10, 2013
111 W 7 MILE RD, DETROIT, MI 48203(313) 369-2600(313) 369-2477 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Sean Jackson Rdh NPPES

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

MR. SEAN JACKSON RDH (NPI 1114368917) is an individual dental hygienist in Detroit, Michigan, licensed in Michigan (2902014962) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1114368917
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameMR. SEAN JACKSONCredential: RDH
Location Address111 W 7 MILE RDDetroit, MI 48203-1968
Mailing Address111 W 7 Mile RdDetroit, MI 48203-1968 · (313) 369-2600 · Fax (313) 369-2477
Phone(313) 369-2600
Fax(313) 369-2477
Sole ProprietorNo
Enumeration DateJuly 10, 2013
✔ NPI 1114368917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in MI · 2902014962
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
111 W 7 MILE RD, Detroit, MI 48203
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Other Providers at the Same Location NPPES 6

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

LATASHA KELLER
Advanced Practice Midwife
111 W 7 MILE RD
DETROIT, MI 48203
Wayne County (313) 369-2600
HORACIO BAUTISTA CHW
Community Health Worker
111 W 7 MILE RD
DETROIT, MI 48203
Wayne County (313) 368-2600
AISHA B BALLARD CHW
Community Health Worker
111 W 7 MILE RD
DETROIT, MI 48203
Wayne County (313) 368-2600
MRS. JADE ANDREA BURNS PHD,RN,CPNP-PC
Nurse Practitioner (Pediatrics)
111 W 7 MILE RD
DETROIT, MI 48203
Wayne County (313) 369-2600
ROGER BURNEY CHW
Community Health Worker
111 W 7 MILE RD
DETROIT, MI 48203
Wayne County (313) 368-2600
DETROIT COMMUNITY HEALTH CONNECTION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
111 W 7 MILE RD
DETROIT, MI 48203
Wayne County (313) 369-2600

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 Sean Jackson's NPI number?

The NPI number for Sean Jackson is 1114368917. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Sean Jackson located?

Sean Jackson practices at 111 W 7 Mile Rd, Detroit, MI 48203. The listed phone number is (313) 369-2600.

What is Sean Jackson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Sean Jackson was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.