Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL JACK, DDS
ActiveMR. MICHAEL JACK, DDS is a Dentist healthcare provider located in WARREN, Michigan. NPI 1558453399 is currently active in the NPPES registry. Verify at CMS.
Dentist · WARREN, MI
Registration Details
- NPI Number
- 1558453399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2006 (19.689815765936 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2901018160 (MI)
Practice Information
- Address
-
13403 13 MILE RDWARREN, MI, 48088Browse MI providers · Browse ZIP 48088
- Phone
- 5869792800
- Fax
- 5869792720
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WARREN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT WARREN HITE | DDS | 1083684971 |
| CHANDRAVADAN PANCHOLI | DDS | 1639127384 |
| DR. LAWRENCE MURRAY FINN | D.D.S. | 1346291788 |
| RICHARD E KLEIN | DDS | 1225136054 |
| MR. MARK A BOUCHILLON | DDS | 1023109972 |
| MR. JONATHAN HURST | DDS | 1033201850 |
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.