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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE HWANG

Active

JACKIE HWANG is a Pediatric Dentistry healthcare provider located in PORTAGE, Michigan. NPI 1255822961 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PORTAGE, MI

Registration Details

NPI Number
1255822961
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2018 (8.2040438499164 yrs)
Last Updated
Aug 16, 2020
License
2901600444 (MI)

Practice Information

Address
3020 OLD CENTRE RD
PORTAGE, MI, 490244883
Browse MI providers · Browse ZIP 49024
Phone
2693238016
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in PORTAGE, MI

Name Credential NPI
DR. JOHN H DEPPEN DDS 1134117807
DR. JODY LYNN WRATHALL D.D.S., M.S. 1306142815
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.