Bruce A. Jackson Ii, Dds, Plc

LBN: Bruce A. Jackson Ii, Dds, Plc
Bruce A. Jackson Ii, Dds, Plc is an health care organization with primary practice located at 4829 E Beltline Ave Ne , Grand Rapids MI 49525-9747. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bruce A. Jackson Ii, Dds, Plc can be contacted via phone (616) 363-8707, or through Jackson, Bruce via phone (616) 363-8707.

Contact Information

Primary practice address
4829 E Beltline Ave Ne Grand Rapids MI 49525-9747
Phone: (616) 363-8707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Bruce Doctor of Dental Surgery (DDS)
Phone: (616) 363-8707

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1639783137
LBN Legal business name Bruce A. Jackson Ii, Dds, Plc
DBA Doing business as
Authorized official Jackson, Bruce Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2020
Last updated Sep 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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