# 97 SMILES OF JACKSON II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598681132
- **Authorized official:** SUSAN DUNFORD (BILLING & CREDENTIALING MANAGER)
- **Authorized official phone:** (734) 788-8712

## Contact information

- **Practice address:** 1010 BURR ST, JACKSON, MI 49201-1706
- **Practice address phone:** (517) 258-7979
- **Mailing address:** 1010 BURR ST, JACKSON, MI 49201-1706
- **Mailing address phone:** (517) 258-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2026
- **Last updated:** 06/27/2026