Organization Active NPI

Jessica Joseph DDS PLLC

Doing business as Centre Smiles Dental

  • Dentist
  • Portage, MI
National Provider Identifier
1023961570
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JESSICA JOSEPH DDS PLLC
Doing business as
Centre Smiles Dental
Practice address
4855 W Centre Ave Ste a
Portage, MI 49024-4686
Phone
(269) 375-0800
NPI assigned
Feb 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Marie Joseph, DDSNPI 1528598158
Title
Dentist/ Owner
Phone
(269) 375-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4855 W Centre Ave Ste a
Portage, MI 49024-4686

Mailing address

8923 Austin CT
Portage, MI 49002-6471
Phone (269) 375-0800

Other names 1

  • Centre Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4855 W Centre Ave
Ste A
Portage, MI 49024
Phone (269) 375-0800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1023961570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 AUSTIN CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490026471",
            "telephone_number": "269-375-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W CENTRE AVE STE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244686",
            "telephone_number": "269-375-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA JOSEPH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "269-375-0800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.