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

Jackie Hwang

Individual provider Pediatric Dentistry · NPI 1255822961

Jackie Hwang is a Pediatric Dentistry in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

3020 Old Centre Rd
Portage, MI 49024-4883
Phone: (269) 323-8016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901600444 (MI)

Record details

NPI number1255822961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESAugust 16, 2020
Certification dateAugust 16, 2020
Mailing address8397 Warbler Dr, Kalamazoo, MI 49009-4549

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