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JACKSON DENTAL INNOVATIONS PLLC
NPI 1548027063
Clinic/Center - Dental in Jackson, MI

Active since March 01, 2024
1931 HORTON RD STE 14, JACKSON, MI 49203(517) 787-7520(517) 787-2575 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Dental Innovations Pllc NPPES

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

JACKSON DENTAL INNOVATIONS PLLC (NPI 1548027063) is a healthcare organization registered as a dental in Jackson, Michigan and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Jackson and lists Shadi Krecht, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1548027063
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACKSON DENTAL INNOVATIONS PLLC
Location Address1931 HORTON RD STE 14Jackson, MI 49203-5599
Mailing Address190 Plymouth RdPlymouth, MI 48170-1447 · (734) 979-0979 · Fax (734) 927-1169
Phone(517) 787-7520
Fax(517) 787-2575
Organization SubpartNo
Authorized OfficialShadi KrechtOwner/dentist · (734) 979-0979
Enumeration DateMarch 1, 2024
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1548027063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1931 HORTON RD STE 14, Jackson, MI 49203
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Secondary Practice Location 1

Location 1306 W Washington Ave Ste 204Jackson, MI 49201-2141 · Phone (517) 787-8880 · Fax (517) 787-8888

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 Innovations PLLC's NPI number?

The NPI number for Jackson Dental Innovations PLLC is 1548027063. It was assigned to this organization in the NPPES registry on March 1, 2024.

Where is Jackson Dental Innovations PLLC located?

Jackson Dental Innovations PLLC is located at 1931 Horton Rd Ste 14, Jackson, MI 49203. The listed phone number is (517) 787-7520.

What is Jackson Dental Innovations PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jackson Dental Innovations PLLC was last updated on March 7, 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.