Pediatric Dentistry and Orthodontics of Jackson
NPI 1952058133 · Pediatric Dentistry · Jackson, MI
Pediatric Dentistry and Orthodontics of Jackson is a Pediatric Dentistry organization in Jackson, MI (NPI 1952058133).
Provider details
- NPI number
- 1952058133
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ly Van, Pediatric Dentist(586) 744-9869
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Frequently asked questions
- What is Pediatric Dentistry and Orthodontics of Jackson's NPI number?
- Pediatric Dentistry and Orthodontics of Jackson's National Provider Identifier (NPI) is 1952058133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry and Orthodontics of Jackson?
- Pediatric Dentistry and Orthodontics of Jackson is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry and Orthodontics of Jackson located?
- Pediatric Dentistry and Orthodontics of Jackson's practice location on file with NPPES is 900 E Michigan Ave Ste 100, Jackson, MI 49201-2457.
- What is Pediatric Dentistry and Orthodontics of Jackson's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry and Orthodontics of Jackson is (517) 376-3142.
- Who is the authorized official for Pediatric Dentistry and Orthodontics of Jackson?
- The authorized official listed on Pediatric Dentistry and Orthodontics of Jackson's NPPES record is Ly Van, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry and Orthodontics of Jackson's NPI active?
- Yes — Pediatric Dentistry and Orthodontics of Jackson's NPI (1952058133) is active in the NPPES registry as of the last update on 2022-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.