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JACKSON IMPLANTS & PERIODONTICS
NPI 1306691381
Dentist - Periodontics in Jackson, MI

Active since April 22, 2024
721 17TH STREET, JACKSON, MI 49203(517) 782-3607(517) 782-3658 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Implants & Periodontics NPPES

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

JACKSON IMPLANTS & PERIODONTICS (NPI 1306691381) is a healthcare organization registered as a periodontics in Jackson, Michigan and active in the NPI registry since April 2024. The organization lists Kelly Misch, Owner/periodontist, as its authorized official.

NPPES Registry Identity

NPI1306691381
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJACKSON IMPLANTS & PERIODONTICS
Location Address721 17TH STREETJackson, MI 49203
Mailing Address721 17th StreetJackson, MI 49203 · (517) 782-3607 · Fax (517) 782-3658
Phone(517) 782-3607
Fax(517) 782-3658
Organization SubpartNo
Authorized OfficialKelly MischOwner/periodontist · (734) 975-1743
Enumeration DateApril 22, 2024
✔ NPI 1306691381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
721 17TH STREET, Jackson, MI 49203
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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

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 Implants & Periodontics's NPI number?

The NPI number for Jackson Implants & Periodontics is 1306691381. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is Jackson Implants & Periodontics located?

Jackson Implants & Periodontics is located at 721 17th Street, Jackson, MI 49203. The listed phone number is (517) 782-3607.

What is Jackson Implants & Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jackson Implants & Periodontics was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.