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

FOURTH STREET DENTAL, PLLC

Active Organization

FOURTH STREET DENTAL, PLLC is a General Dentistry organization located in JACKSON, Michigan. NPI 1710303599 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · JACKSON, MI

Registration Details

NPI Number
1710303599
Provider Type
Organization
NPI Issued
Mar 17, 2014 (12.424848792902 yrs)
Last Updated
Mar 17, 2014
License
19773 (MI)

Practice Information

Address
2027 4TH ST
JACKSON, MI, 492034572
Browse MI providers · Browse ZIP 49203
Phone
5177879630
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in JACKSON, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.