Jacked Dmd, Pllc
Jacked Dmd, Pllc is a healthcare organization registered as Dental Clinic/Center in Palm Bay, FL, holding Type 2 (organization) NPI 1558106682 since 2024. The authorized official on file is Marc Christy, Owner Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558106682 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jacked Dmd, Pllc |
| Practice address | 2186 HARRIS AVE NE STE 3, Palm Bay, FL, 32905 |
| Phone | 3217232620 |
| Enumeration date | 2024-06-29 |
| Last updated in NPPES | 2024-06-29 |
Authorized official
| Name | Marc Christy |
|---|---|
| Title | Owner Dentist |
| Phone | 8609859883 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Jacked Dmd, Pllc NPI: 1558106682 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 2186 HARRIS AVE NE STE 3, Palm Bay, FL, 32905
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083974901 | Liliana Marshall Dmd Pllc | Organization | General Practice Dentistry | Palm Bay, FL |
Verify this record
Cross-check NPI 1558106682 against the authoritative CMS record: view Jacked Dmd, Pllc 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
What is a Type 2 NPI?
What type of organization is Jacked Dmd, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-29.