Bruce A. Jackson II, DDS, PLC
Bruce A. Jackson II, DDS, PLC is a Dental Clinic/Center in Grand Rapids, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4829 E Beltline Ave NEGrand Rapids, MI 49525-9747
Phone: (616) 363-8707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1639783137 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Jackson — Owner · (616) 363-8707 |
| NPI enumerated | September 2, 2020 |
| Last updated in NPPES | September 2, 2020 |
| Certification date | September 2, 2020 |
| Mailing address | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 |
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