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

Pro Dental Mi 1 PC

Organization General Practice Dentistry · NPI 1437986700

Pro Dental Mi 1 PC is a General Practice Dentistry in Jackson, Michigan. Registered with an NPI since 2024.

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

See every abbreviation used in this directory →

Practice location Address checks out

1074 Jackson Xing
Jackson, MI 49202-2039
Phone: (517) 841-0000
Fax: (517) 841-0180
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1437986700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simone Wilson-Adeleke — Director Of Credentialing · (732) 731-8398
Other names Destiny Dental Of Jackson
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address10 Woodbridge Center Dr Ste 520, Woodbridge, NJ 07095-1152

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