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

Pura Vida Smiles, PC

Organization Dentist · NPI 1740602846

Pura Vida Smiles, PC is a Dentist 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1113 Boardman Rd
Jackson, MI 49202-1901
Phone: (517) 768-8100
Fax: (517) 780-0806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 15663 (MI)

Record details

NPI number1740602846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Bertollini — Prm · (866) 273-8204
NPI enumeratedJanuary 9, 2014
Last updated in NPPESJanuary 9, 2014
Mailing addressPo Box 3189, Syracuse, NY 13220-3189

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