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BRUCE A. JACKSON II, DDS, PLC
NPI 1639783137
Clinic/Center - Dental in Grand Rapids, MI

Active since September 02, 2020
4829 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 363-8707 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce A. Jackson Ii, Dds, Plc NPPES

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

BRUCE A. JACKSON II, DDS, PLC (NPI 1639783137) is a healthcare organization registered as a dental in Grand Rapids, Michigan and active in the NPI registry since September 2020. The organization lists Bruce Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639783137
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRUCE A. JACKSON II, DDS, PLC
Location Address4829 E BELTLINE AVE NEGrand Rapids, MI 49525-9747
Mailing Address4829 E Beltline Ave NeGrand Rapids, MI 49525-9747 · (616) 363-8707
Phone(616) 363-8707
Organization SubpartNo
Authorized OfficialBruce JacksonOwner · (616) 363-8707
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1639783137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4829 E BELTLINE AVE NE, Grand Rapids, MI 49525
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Other Providers at the Same Location NPPES 20

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

CASSANDRA FAYE PATTERSON LPC
Counselor
4829 E BELTLINE AVE NE, BUILDING 3, STE 303
GRAND RAPIDS, MI 49525
Kent County (616) 202-2762
DR. RHETT BAYLOR JACKSON D.D.S
Dentist (General Practice)
4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 550-0087
MITUS-ROSENDALL D.D.S.
Dentist (General Practice)
4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 363-9277
JONATHAN MULDER
Counselor (Professional)
4829 E BELTLINE AVE NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 734-9417
SUSAN MISSAD COUNSELING
Psychologist (Counseling)
4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 291-6595
SOULCARE COUNSELING
Social Worker (Clinical)
4829 E BELTLINE AVE NE, SUITE 103
GRAND RAPIDS, MI 49525
Kent County (616) 560-4036
DR. ALAN LOUIS ROSENDALL D.D.S.
Dentist (General Practice)
4829 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 363-9277
FAMILIES FOREVER COUNSELING PLC
Community/Behavioral Health
4829 E BELTLINE AVE NE, SUITE #103
GRAND RAPIDS, MI 49525
Kent County (616) 217-8621

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 Bruce A. Jackson II, Dds, Plc's NPI number?

The NPI number for Bruce A. Jackson II, Dds, Plc is 1639783137. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Bruce A. Jackson II, Dds, Plc located?

Bruce A. Jackson II, Dds, Plc is located at 4829 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 363-8707.

What is Bruce A. Jackson II, Dds, Plc'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 Bruce A. Jackson II, Dds, Plc was last updated on September 2, 2020. 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.