Active NPI
Noel W. Jackson D.D.S., P.C.
Doing business as Dr. Noel W. Jackson
- General Practice Dentistry
- Trenton, MI
National Provider Identifier
1720147820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901012191
- Legal business name
- NOEL W. JACKSON D.D.S., P.C.
- Doing business as
- Dr. Noel W. Jackson
- Practice address
- 254 West Rd
Trenton, MI 48183-2916 - Phone
- (734) 671-2273
- Fax
- (734) 671-0649
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
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., F.A.G.D.
- Title
- President
- Phone
- (734) 671-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901012191 | MI | Primary |
Addresses
Primary practice location
254 West Rd
Trenton, MI 48183-2916
Mailing address
24 West Rd.
Trenton, MI 48183-2916
Phone (734) 671-2273
Other names 1
- Dr. Noel W. Jackson
National Provider Directory
National Provider DirectoryLocations
254 West Rd
Trenton, MI 48183
Phone (734) 671-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720147820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WEST RD.",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832916",
"telephone_number": "734-671-2273",
"fax_number": "734-671-0649"
},
{
"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": "734-671-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOEL W. JACKSON D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "NOEL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-671-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., F.A.G.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901012191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Noel W. Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trenton, MI
- Gabriel Joseph Newman
- Sharon Gean Newson-Dunn, LPC, ACS
- Jasmine Nguyen, DO
- Mackenzie Nibarger
- Devin Singh Nijjar, D.O.
- O and B Community Homes
- Oakwood Critical Care LLC
- Oakwood Healhcare Group 1, LLC (Southshore MOB)
- Oakwood Healthcare Group I, LLC
- Oakwood Healthcare Inc (Beaumont Hospital - Trenton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.