Individual
DR. JACKSON M PIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
900 52ND ST SW, WYOMING, MI 49509-9725
(616) 531-6240
Mailing address
900 52ND ST SW, WYOMING, MI 49509-9725
(616) 531-6240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033824
IL
1223G0001X
General Practice Dentistry
Primary
2901602779
MI
Other
Enumeration date
06/22/2022
Last updated
07/30/2025
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