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

Fourth Street Dental, PLLC

Organization General Practice Dentistry · NPI 1710303599

Fourth Street Dental, PLLC is a General Practice Dentistry in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2027 4th St
Jackson, MI 49203-4572
Phone: (517) 787-9630
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19773 (MI)

Record details

NPI number1710303599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Pound — Member · (517) 787-9630
NPI enumeratedMarch 17, 2014
Last updated in NPPESMarch 17, 2014
Mailing address2027 4th St, Jackson, MI 49203-4572

Other providers in Jackson