Jackson Implants & Periodontics

NPI #1306691381 in Jackson, Michigan

Provider Information

NPI Number: 1306691381
Entity Type: Organization
Organization Name: Jackson Implants & Periodontics
Primary Specialty: Dentist - Periodontics
Enumeration Date: Apr 22, 2024
Last Updated: Apr 22, 2024

Practice Location

Address: 721 17TH STREET
City: Jackson
State: Michigan
ZIP Code: 49203
Phone: (517) 782-3607

Authorized Official

Name: KELLY MISCH, DDS, MS
Title: OWNER/PERIODONTIST
Phone: (734) 975-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Allan Dale Padbury, D.D.S.	Dentist - Periodontics	Jackson	AI Deep Dive
DR. Allan Dale Padbury JR., D.D.S.	Dentist - Periodontics	Jackson	AI Deep Dive
DR. Salah Al Huwais, DDS	Dentist - Periodontics	Jackson	AI Deep Dive
DR. Steve Lawrence Wolf, DDS	Dentist - Periodontics	Novi	AI Deep Dive

Organizations

Provider Name	Specialty	City
Padbury and Padbury, D.d.s, M.s., P.c.	Dentist - Periodontics	Jackson	AI Deep Dive

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