Bruce A. Jackson II, DDS, PLC
NPI 1639783137 · Dental Clinic/Center · Grand Rapids, MI
Bruce A. Jackson II, DDS, PLC is a Dental Clinic/Center organization in Grand Rapids, MI (NPI 1639783137).
Provider details
- NPI number
- 1639783137
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jackson, Owner(616) 363-8707
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2020-09-02
- Certified
- 2020-09-02
Frequently asked questions
- What is Bruce A. Jackson II, DDS, PLC's NPI number?
- Bruce A. Jackson II, DDS, PLC's National Provider Identifier (NPI) is 1639783137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bruce A. Jackson II, DDS, PLC?
- Bruce A. Jackson II, DDS, PLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bruce A. Jackson II, DDS, PLC located?
- Bruce A. Jackson II, DDS, PLC's practice location on file with NPPES is 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747.
- What is Bruce A. Jackson II, DDS, PLC's phone number?
- The practice phone number listed in the NPPES registry for Bruce A. Jackson II, DDS, PLC is (616) 363-8707.
- Who is the authorized official for Bruce A. Jackson II, DDS, PLC?
- The authorized official listed on Bruce A. Jackson II, DDS, PLC's NPPES record is Bruce Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bruce A. Jackson II, DDS, PLC's NPI active?
- Yes — Bruce A. Jackson II, DDS, PLC's NPI (1639783137) is active in the NPPES registry as of the last update on 2020-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.