Bruce A. Jackson II, DDS, Plc
Bruce A. Jackson II, DDS, Plc is a healthcare organization registered as Dental Clinic/Center in Grand Rapids, MI, holding Type 2 (organization) NPI 1639783137 since 2020. The authorized official on file is Bruce Jackson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639783137 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bruce A. Jackson II, DDS, Plc |
| Practice address | 4829 E BELTLINE AVE NE, Grand Rapids, MI, 49525 |
| Phone | 6163638707 |
| Enumeration date | 2020-09-02 |
| Last updated in NPPES | 2020-09-02 |
Authorized official
| Name | Bruce Jackson |
|---|---|
| Title | Owner |
| Phone | 6163638707 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Bruce A. Jackson II, DDS, Plc NPI: 1639783137 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 4829 E BELTLINE AVE NE, Grand Rapids, MI, 49525
Providers at this 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 |
| 1720039878 | Bruce Jackson | 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 |
Verify this record
Cross-check NPI 1639783137 against the authoritative CMS record: view Bruce A. Jackson II, DDS, Plc 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
How current is this record?
Where is Bruce A. Jackson II, DDS, Plc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-02.