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

Dr. Jackson M Pizzo, DMD

Individual provider Dentist · NPI 1922739648

Dr. Jackson M Pizzo, DMD is a Dentist in Wyoming, Michigan. Works from 2 locations. Licensed in Illinois and Michigan.

Licensed in
IL, MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

900 52nd St SW
Wyoming, MI 49509-9725
Phone: (616) 531-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12222 S Il Route 47, Huntley, IL 60142-9628 — (224) 654-6920

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901602779 (MI)
Dentist Taxonomy 122300000X · Licence 019.033824 (IL)

Record details

NPI number1922739648
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address900 52nd St Sw, Wyoming, MI 49509-9725

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