| Jackson Implants & Periodontics | |
|
721 17th Street Jackson MI 49203 | |
| (517) 782-3607 | |
| (517) 782-3658 |
| Full Name | Jackson Implants & Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 721 17th Street, Jackson, Michigan |
| Authorized Official Name and Position | Kelly Misch (OWNER/PERIODONTIST) |
| Authorized Official Contact | 7349751743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Implants & Periodontics 721 17th Street Jackson MI 49203 Ph: (517) 782-3607 | Jackson Implants & Periodontics 721 17th Street Jackson MI 49203 Ph: (517) 782-3607 |
| NPI Number | 1306691381 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306691381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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