Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dentistry by Design of Jackson, PLC

Organization Dentist · NPI 1396276333

Dentistry by Design of Jackson, PLC is a Dentist in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

306 W Washington Ave Ste 205
Jackson, MI 49201-2141
Phone: (517) 787-5055
Fax: (517) 787-9346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901020967 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1396276333
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDentistry by Design of Jackson, PLC
Authorized official Andrew Balaze — Dentist/Owner · (517) 787-5055
NPI enumeratedMarch 22, 2017
Last updated in NPPESAugust 7, 2019
Mailing address306 W Washington Ave Ste 205, Jackson, MI 49201-2141

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