Mr. Michael Jack, DDS
Mr. Michael Jack is a Dentist provider (Dentist) practicing in Warren, MI, registered in the NPPES registry with NPI 1558453399 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558453399 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Michael Jack |
| Credential | DDS |
| Sex | Male |
| Practice address | 13403 13 MILE RD, Warren, MI, 48088 |
| Phone | 5869792800 |
| Fax | 5869792720 |
| Enumeration date | 2006-09-29 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 2901018160 | MI |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Michael Jack, DDS NPI: 1558453399 Taxonomy: 122300000X (Dentist) Address: 13403 13 MILE RD, Warren, MI, 48088
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023109972 | Mark Bouchillon | Individual | Dentist | Warren, MI |
| 1033201850 | Jonathan Hurst | Individual | Dentist | Warren, MI |
| 1285726018 | Laura Zetu | Individual | Periodontics | Warren, MI |
| 1548352396 | Steven Hane | Individual | Dentist | Warren, MI |
| 1992897730 | Paula Ottaway | Individual | Dentist | Warren, MI |
| 1538251376 | Danielle Gehlert | Individual | Dentist | Warren, MI |
| 1366534117 | David Bartolovic | Individual | Prosthodontics | Warren, MI |
| 1952494163 | Tae-Ju Oh | Individual | Periodontics | Warren, MI |
Verify this record
Cross-check NPI 1558453399 against the authoritative CMS record: view Mr. Michael Jack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.