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

Jacked DMD, PLLC

Organization Dental Clinic/Center · NPI 1558106682

Jacked DMD, PLLC is a Dental Clinic/Center in Palm Bay, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044
Phone: (321) 723-2620
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1558106682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Christy — Owner Dentist · (860) 985-9883
NPI enumeratedJune 29, 2024
Last updated in NPPESJune 29, 2024
Certification dateJune 29, 2024
Mailing address1534 Sumter Ln, Melbourne, FL 32904-8740

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