OrganizationActive
Jackson Pediatric Dentistry PC
NPI 1255870051 · Pediatric Dentistry · Jackson, MI
Jackson Pediatric Dentistry PC is a Pediatric Dentistry organization in Jackson, MI (NPI 1255870051).
Provider details
- NPI number
- 1255870051
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Steven Davenport, Owner(517) 787-1022
- License
- 2901017187 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 Spring Arbor Rd
Jackson, MI 49203-3602
Phone: (517) 787-1022
Street-level locationGet directions
Mailing address
2500 Spring Arbor Rd
Jackson, MI 49203-3602
Registry dates
- Enumerated
- 2017-02-14
- Last updated
- 2017-02-14
Frequently asked questions
- What is Jackson Pediatric Dentistry PC's NPI number?
- Jackson Pediatric Dentistry PC's National Provider Identifier (NPI) is 1255870051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Pediatric Dentistry PC?
- Jackson Pediatric Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jackson Pediatric Dentistry PC located?
- Jackson Pediatric Dentistry PC's practice location on file with NPPES is 2500 Spring Arbor Rd, Jackson, MI 49203-3602.
- What is Jackson Pediatric Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pediatric Dentistry PC is (517) 787-1022.
- Who is the authorized official for Jackson Pediatric Dentistry PC?
- The authorized official listed on Jackson Pediatric Dentistry PC's NPPES record is Steven Davenport, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Pediatric Dentistry PC's NPI active?
- Yes — Jackson Pediatric Dentistry PC's NPI (1255870051) is active in the NPPES registry as of the last update on 2017-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.