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JACKSON DENTAL
NPI 1407120504
Dentist in Lapeer, MI

Active since March 07, 2012
456 S MAIN ST, LAPEER, MI 48446(810) 667-3535(810) 245-5723 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Dental NPPES

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

JACKSON DENTAL (NPI 1407120504) is a healthcare organization registered as a dentist in Lapeer, Michigan and active in the NPI registry since March 2012. The organization lists Thomas Dirk Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407120504
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJACKSON DENTAL
Location Address456 S MAIN STLapeer, MI 48446-2427
Mailing Address456 S Main StLapeer, MI 48446-2427 · (810) 667-3535 · Fax (810) 245-5723
Phone(810) 667-3535
Fax(810) 245-5723
Organization SubpartNo
Authorized OfficialThomas Dirk JacksonOwner · (810) 667-3535
Enumeration DateMarch 7, 2012
Last NPPES UpdateMay 4, 2017
✔ NPI 1407120504 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.
456 S MAIN ST, Lapeer, MI 48446
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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

Other Providers at the Same Location NPPES 5

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

LUAN KAY JACKSON RN
Counselor (Mental Health)
456 S MAIN ST
LAPEER, MI 48446
Lapeer County (810) 664-4641
DR. AMIT BATRA DDS
Dentist (General Practice)
456 S MAIN ST
LAPEER, MI 48446
Lapeer County (810) 667-3535
BRENT JACKSON D.D.S.
Dentist
456 S MAIN ST
LAPEER, MI 48446
Lapeer County (810) 667-3535
DR. ANTHONY ALEXANDER BOUZA D.D.S.
Dentist
456 S MAIN ST
LAPEER, MI 48446
Lapeer County (810) 667-3535
TRU DENTAL MICHIGAN II, PLLC
Dentist (General Practice)
456 S MAIN ST
LAPEER, MI 48446
Lapeer County (810) 667-3535

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 Dental's NPI number?

The NPI number for Jackson Dental is 1407120504. It was assigned to this organization in the NPPES registry on March 7, 2012.

Where is Jackson Dental located?

Jackson Dental is located at 456 S Main St, Lapeer, MI 48446. The listed phone number is (810) 667-3535.

What is Jackson Dental'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 Jackson Dental was last updated on May 4, 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.