Pediatric Dentistry of East Lansing

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF EAST LANSING

Doing business as

Pediatric Dentistry of East Lansing

Practice address

3511 Coolidge Rd
East Lansing, MI 48823-6390

Phone

(517) 337-0032

NPI assigned

Nov 30, 2020

Last updated

Sep 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Myers, DDS, FAAPDNPI 1174713853

Title

Dentist

Phone

(517) 337-0032

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry of East Lansing Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Edward Myers, D.D.S.

  • Pediatric Dentistry
  • East Lansing, MI
  • NPI 1174713853
  NPD Authorized official
• Jennifer A Cleary, DDS

  • Dentist
  • Ann Arbor, MI
  • NPI 1588159412
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1225632284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236390",
            "telephone_number": "517-337-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236390",
            "telephone_number": "517-337-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF EAST LANSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-337-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FAAPD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of East Lansing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Pavlik, PHARMD
• Jacalynn Hope Pawloski
• David Ethan Pawsat, D.O.
• Martin E. Pearlman, M.D.
• Mary Pearson
• Michelle Lynne Pell, RN, BSN
• Monica Kris Pelowski, DO, MPH
• Ronald B. Penfield, MSW
• Elizabeth Ana Peralta, LMSW
• Richelle Elana Perkins

• Pediatric Dentistry in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.