Dr. Bruce Arden Jackson II, DDS
Dr. Bruce Arden Jackson II is a General Practice Dentistry provider (Dentist) practicing in Grand Rapids, MI, registered in the NPPES registry with NPI 1720039878 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720039878 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Bruce Arden Jackson II |
| Credential | DDS |
| Sex | Male |
| Practice address | 4829 E BELTLINE AVE NE, Grand Rapids, MI, 49525 |
| Phone | 6163638707 |
| Fax | 6163630390 |
| Enumeration date | 2006-05-13 |
| Last updated in NPPES | 2020-09-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 13162 | MI |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4066190 | Medicaid | MI | — |
Copy-ready billing details
Provider: Bruce Jackson, DDS NPI: 1720039878 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 4829 E BELTLINE AVE NE, Grand Rapids, MI, 49525
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457333098 | Kristie Buchholz | Individual | Women's Health Nurse Practitioner | Grand Rapids, MI |
| 1598748014 | Alice Padilla | Individual | Women's Health Nurse Practitioner | Grand Rapids, MI |
| 1235189325 | Alan Rosendall | Individual | General Practice Dentistry | Grand Rapids, MI |
| 1871540997 | Liana Rinzler | Individual | Obstetrics & Gynecology Physician | Grand Rapids, MI |
| 1457397523 | Kellie Riley | Individual | Nurse Practitioner | Grand Rapids, MI |
| 1902947930 | Diamond Home Care Services, Inc. | Organization | Home Health Agency | Grand Rapids, MI |
| 1316154511 | Wade Lowery | Individual | Chiropractor | Grand Rapids, MI |
| 1295935286 | Mark Olexa | Individual | Social Worker | Grand Rapids, MI |
Verify this record
Cross-check NPI 1720039878 against the authoritative CMS record: view Dr. Bruce Arden Jackson II 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 2020-09-02.