Organization
97 SMILES OF JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUNFORD (BILLING & CREDENTIALING MANAGER)
(734) 788-8712
Entity
Organization
Contact information
Practice address
826 N WISNER ST, JACKSON, MI 49202-3141
(517) 787-0401
Mailing address
826 N WISNER ST, JACKSON, MI 49202-3141
(517) 787-0401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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