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

Jackson Implants & Periodontics

Organization Periodontics · NPI 1306691381

Jackson Implants & Periodontics is a Periodontics in Jackson, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

721 17th St
Jackson, MI 49203
Phone: (517) 782-3607
Fax: (517) 782-3658
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1306691381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Misch — Owner/Periodontist · (734) 975-1743
NPI enumeratedApril 22, 2024
Last updated in NPPESApril 22, 2024
Mailing address721 17th Street, Jackson, MI 49203

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