OrganizationActive
Jackson Dental Innovations PLLC
NPI 1548027063 · Dental Clinic/Center · Jackson, MI
Jackson Dental Innovations PLLC is a Dental Clinic/Center organization in Jackson, MI (NPI 1548027063).
Provider details
- NPI number
- 1548027063
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shadi Krecht, Owner/Dentist(734) 979-0979
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1931 Horton Rd Ste 14
Jackson, MI 49203-5599
Phone: (517) 787-7520
Fax: (517) 787-2575
Street-level locationGet directions
Mailing address
190 Plymouth Rd
Plymouth, MI 48170-1447
Additional practice locations (1)
- 306 W Washington Ave Ste 204Jackson, MI 49201-2141Phone: (517) 787-8880Fax: (517) 787-8888
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Jackson Dental Innovations PLLC's NPI number?
- Jackson Dental Innovations PLLC's National Provider Identifier (NPI) is 1548027063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Dental Innovations PLLC?
- Jackson Dental Innovations PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackson Dental Innovations PLLC located?
- Jackson Dental Innovations PLLC's practice location on file with NPPES is 1931 Horton Rd Ste 14, Jackson, MI 49203-5599.
- What is Jackson Dental Innovations PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Dental Innovations PLLC is (517) 787-7520.
- Who is the authorized official for Jackson Dental Innovations PLLC?
- The authorized official listed on Jackson Dental Innovations PLLC's NPPES record is Shadi Krecht, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Dental Innovations PLLC's NPI active?
- Yes — Jackson Dental Innovations PLLC's NPI (1548027063) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.