Jackson Snider Parker Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACKSON SNIDER PARKER DENTISTRY, PLLC

Practice address

254 West Rd
Trenton, MI 48183-2916

Phone

(734) 671-2273

Fax

(734) 786-2241

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Noel William Jackson, D.D.S.

Title

Senior Partner

Phone

(734) 671-2273

Specialties & licenses 1

Addresses

Other names 1

• Noel W Jackson DDS PC & Sheri L Snider DDS PC Former legal business name

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1427124288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832916",
            "telephone_number": "734-671-2273",
            "fax_number": "734-786-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832916",
            "telephone_number": "734-671-2273",
            "fax_number": "734-786-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON SNIDER PARKER DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "734-671-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noel W Jackson DDS PC & Sheri L Snider DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Jaime Janiec, LPC
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• General Practice Dentistry in Trenton, MI
• Providers in Trenton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.