PURA VIDA SMILES, PC
NPI 1740602846
Dentist in Jackson, MI

Active since January 09, 2014
1113 BOARDMAN RD, JACKSON, MI 49202(517) 768-8100(517) 780-0806 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pura Vida Smiles, Pc NPPES

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

PURA VIDA SMILES, PC (NPI 1740602846) is a healthcare organization registered as a dentist in Jackson, Michigan and active in the NPI registry since January 2014. The organization lists Jason Bertollini, Prm, as its authorized official.

NPPES Registry Identity

NPI1740602846
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePURA VIDA SMILES, PC
Location Address1113 BOARDMAN RDJackson, MI 49202-1901
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (866) 273-8204 · Fax (866) 803-4943
Fax(517) 780-0806
Organization SubpartNo
Authorized OfficialJason BertolliniPrm · (866) 273-8204
Enumeration DateJanuary 9, 2014
NPI 1740602846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 15663
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.
1113 BOARDMAN RD, Jackson, MI 49202

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

Accepted Insurance

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.

Dentist
1113 BOARDMAN RD
JACKSON, MI 49202
Dentist
1113 BOARDMAN RD
JACKSON, MI 49202
Dentist
1113 BOARDMAN RD
JACKSON, MI 49202
Dentist
1113 BOARDMAN RD
JACKSON, MI 49202
Dentist (General Practice)
1113 BOARDMAN RD
JACKSON, MI 49202

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 Pura Vida Smiles, PC's NPI number?

The NPI number for Pura Vida Smiles, PC is 1740602846. It was assigned to this organization in the NPPES registry on January 9, 2014.

Where is Pura Vida Smiles, PC located?

Pura Vida Smiles, PC is located at 1113 Boardman Rd, Jackson, MI 49202. The listed phone number is (517) 768-8100.

What is Pura Vida Smiles, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Pura Vida Smiles, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Pura Vida Smiles, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pura Vida Smiles, PC was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.