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

Jackson Dental Innovations PLLC

Organization Dental Clinic/Center · NPI 1548027063

Jackson Dental Innovations PLLC is a Dental Clinic/Center in Jackson, Michigan. Works from 2 locations. 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

1931 Horton Rd Ste 14
Jackson, MI 49203-5599
Phone: (517) 787-7520
Fax: (517) 787-2575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 306 W Washington Ave Ste 204, Jackson, MI 49201-2141 — (517) 787-8880

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1548027063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shadi Krecht — Owner/Dentist · (734) 979-0979
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address190 Plymouth Rd, Plymouth, MI 48170-1447

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