Organization
NORTH PINES DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHETT JACKSON DDS (OWNER)
(616) 550-0087
Entity
Organization
Contact information
Practice address
4829 E BELTLINE AVE NE BLDG 2, GRAND RAPIDS, MI 49525-9747
(616) 363-8707
Mailing address
4829 E BELTLINE AVE NE BLDG 2, GRAND RAPIDS, MI 49525-9747
(616) 363-8707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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