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

Dr. Rhett Baylor Jackson, DDS

Individual provider General Practice Dentistry · NPI 1033730213

Dr. Rhett Baylor Jackson, DDS is a General Practice Dentistry in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4829 E Beltline Ave NE
Grand Rapids, MI 49525-9747
Phone: (616) 550-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901600527APP20 (MI)

Record details

NPI number1033730213
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747

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