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MICHIGAN DENTISTS PLLC
NPI 1376152504
Dentist - General Practice in Jackson, MI

Active since July 23, 2020
2641 SHIRLEY DR, JACKSON, MI 49201(517) 787-5367 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2021, Jul 23, 2020 (2 updates tracked since 2020).

About Michigan Dentists Pllc NPPES

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

MICHIGAN DENTISTS PLLC (NPI 1376152504) is a healthcare organization registered as a general practice in Jackson, Michigan and active in the NPI registry since July 2020. The organization lists Cheryl Notten, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376152504
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHIGAN DENTISTS PLLC
Location Address2641 SHIRLEY DRJackson, MI 49201-8633
Mailing Address2641 Shirley DrJackson, MI 49201-8633 · (517) 787-5367
Phone(517) 787-5367
Organization SubpartNo
Authorized OfficialCheryl NottenOffice Manager · (517) 787-5367
Enumeration DateJuly 23, 2020
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1376152504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedPoint of ServiceTaxonomy 305S00000X
2641 SHIRLEY DR, Jackson, MI 49201
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Other Identifiers 3

Other1952617284MI · Firas Belbeisi
Other1518251230MI · Anish Gupta
Other1295090611MI · Edwin Kwon

Other Providers at the Same Location NPPES 4

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

DR. DARYL FREDERICK DDS
Dentist
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-5367
WILLIAM AUGUSTO BUURMA DDS
Dentist (General Practice)
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (941) 840-2092
DARYL W FREDERICK DDS PC
Dentist (General Practice)
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-5367
DR. FIRAS WAFIQ BELBEISI D.D.S.
Dentist
2641 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-5367

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 Michigan Dentists PLLC's NPI number?

The NPI number for Michigan Dentists PLLC is 1376152504. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Michigan Dentists PLLC located?

Michigan Dentists PLLC is located at 2641 Shirley Dr, Jackson, MI 49201. The listed phone number is (517) 787-5367.

What is Michigan Dentists PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michigan Dentists PLLC was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.