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JACKSON PEDIATRIC DENTISTRY PC
NPI 1255870051
Dentist - Pediatric Dentistry in Jackson, MI

Active since February 14, 2017
2500 SPRING ARBOR RD, JACKSON, MI 49203(517) 787-1022 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Pediatric Dentistry Pc NPPES

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

JACKSON PEDIATRIC DENTISTRY PC (NPI 1255870051) is a healthcare organization registered as a pediatric dentistry in Jackson, Michigan and active in the NPI registry since February 2017. The organization lists Steven L Davenport, Owner, as its authorized official.

NPPES Registry Identity

NPI1255870051
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJACKSON PEDIATRIC DENTISTRY PC
Location Address2500 SPRING ARBOR RDJackson, MI 49203-3602
Mailing Address2500 Spring Arbor RdJackson, MI 49203-3602 · (517) 787-1022
Phone(517) 787-1022
Organization SubpartNo
Authorized OfficialSteven L DavenportOwner · (517) 787-1022
Enumeration DateFebruary 14, 2017
✔ NPI 1255870051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901017187
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2500 SPRING ARBOR RD, Jackson, MI 49203
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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. THOMAS CHARLES PINK DDS
Dentist (Pediatric Dentistry)
2500 SPRING ARBOR RD
JACKSON, MI 49203
Jackson County (517) 787-1022

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 Pediatric Dentistry PC's NPI number?

The NPI number for Jackson Pediatric Dentistry PC is 1255870051. It was assigned to this organization in the NPPES registry on February 14, 2017.

Where is Jackson Pediatric Dentistry PC located?

Jackson Pediatric Dentistry PC is located at 2500 Spring Arbor Rd, Jackson, MI 49203. The listed phone number is (517) 787-1022.

What is Jackson Pediatric Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jackson Pediatric Dentistry PC was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.