OrganizationActive
Fourth Street Dental, PLLC
NPI 1710303599 · General Practice Dentistry · Jackson, MI
Fourth Street Dental, PLLC is a General Practice Dentistry organization in Jackson, MI (NPI 1710303599).
Provider details
- NPI number
- 1710303599
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nathan Pound, Member(517) 787-9630
- License
- 19773 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2027 4th St
Jackson, MI 49203-4572
Phone: (517) 787-9630
Street-level locationGet directions
Mailing address
2027 4th St
Jackson, MI 49203-4572
Registry dates
- Enumerated
- 2014-03-17
- Last updated
- 2014-03-17
Frequently asked questions
- What is Fourth Street Dental, PLLC's NPI number?
- Fourth Street Dental, PLLC's National Provider Identifier (NPI) is 1710303599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fourth Street Dental, PLLC?
- Fourth Street Dental, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Fourth Street Dental, PLLC located?
- Fourth Street Dental, PLLC's practice location on file with NPPES is 2027 4th St, Jackson, MI 49203-4572.
- What is Fourth Street Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fourth Street Dental, PLLC is (517) 787-9630.
- Who is the authorized official for Fourth Street Dental, PLLC?
- The authorized official listed on Fourth Street Dental, PLLC's NPPES record is Nathan Pound, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fourth Street Dental, PLLC's NPI active?
- Yes — Fourth Street Dental, PLLC's NPI (1710303599) is active in the NPPES registry as of the last update on 2014-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.