North Pines Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH PINES DENTISTRY PLLC

Practice address

4829 E Beltline Ave NE BLDG 2
Grand Rapids, MI 49525-9747

Phone

(616) 363-8707

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Rhett Jackson, DDSNPI 1033730213

Title

Owner

Phone

(616) 550-0087

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rhett Baylor Jackson, D.D.S

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1033730213
  NPD Authorized official

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1902745573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE BLDG 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-363-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE BLDG 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-363-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PINES DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RHETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-550-0087",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Leigh Norris, CNP
• North Kent Guidance Services
• North Kent Guidance Services LLC
• North Kent Guidance Services LLC
• North Park Family Dental PLLC
• Northern Behavioral Solutions LLC
• Northern Oncology Services PLLC
• Northfield Podiatry Associates P C
• Northland Hearing Centers, Inc.
• Northpointe Dental and Implant Center of Wyoming PLLC

• Dental Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.