OrganizationActive
Jacked DMD, PLLC
NPI 1558106682 · Dental Clinic/Center · Palm Bay, FL
Jacked DMD, PLLC is a Dental Clinic/Center organization in Palm Bay, FL (NPI 1558106682).
Provider details
- NPI number
- 1558106682
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marc Christy, Owner Dentist(860) 985-9883
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 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
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
2186 Harris Ave Ne Ste 3
Palm Bay, FL 32905-4044
Phone: (321) 723-2620
Street-level locationGet directions
Mailing address
1534 Sumter Ln
Melbourne, FL 32904-8740
Registry dates
- Enumerated
- 2024-06-29
- Last updated
- 2024-06-29
- Certified
- 2024-06-29
Frequently asked questions
- What is Jacked DMD, PLLC's NPI number?
- Jacked DMD, PLLC's National Provider Identifier (NPI) is 1558106682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacked DMD, PLLC?
- Jacked DMD, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacked DMD, PLLC located?
- Jacked DMD, PLLC's practice location on file with NPPES is 2186 Harris Ave Ne Ste 3, Palm Bay, FL 32905-4044.
- What is Jacked DMD, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jacked DMD, PLLC is (321) 723-2620.
- Who is the authorized official for Jacked DMD, PLLC?
- The authorized official listed on Jacked DMD, PLLC's NPPES record is Marc Christy, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacked DMD, PLLC's NPI active?
- Yes — Jacked DMD, PLLC's NPI (1558106682) is active in the NPPES registry as of the last update on 2024-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.