Jackson M Pizzo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901602779 Issued in MI

Practice address

900 52ND St SW
Wyoming, MI 49509-9725

Phone

(616) 531-6240

NPI assigned

Jun 22, 2022

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifetime Dental Care of Michigan, P.C.

  dba Metro Dental Associates

  • General Practice Dentistry
  • Wyoming, MI
  • NPI 1841942331
  NPD
• Jason a. Dew DDS PLC

  dba Metro Dental Associates

  • General Practice Dentistry
  • Wyoming, MI
  • NPI 1831349760
  NPD (past)
• Dental Professionals of Illinois, P.C.

  dba Hessel Park Family Dentistry

  • General Practice Dentistry
  • Champaign, IL
  • NPI 1316149867
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1922739648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 52ND ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099725",
            "telephone_number": "616-531-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 52ND ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099725",
            "telephone_number": "616-531-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 S Il Route 47",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429628",
            "country_code": "US",
            "telephone_number": "224-654-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIZZO",
        "first_name": "JACKSON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033824",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pillai, FNP-BC
• Anil Kumar Pillay, DO
• Pine Rest Christian Mental Health Services
• Elizabeth Jane Pitcher, RN
• Lynne Rene' Pittelkow, MA, CCC-SLP
• Planned Parenthood Centers of West Mi
• Samuel William Plaska, DO MS
• Chase A Platte, PA-C
• Peyton Platte
• Pleasant Care Solutions LLC

• General Practice Dentistry in Wyoming, MI
• Providers in Wyoming, 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 Jul 30, 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.