Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dentistry by Design of Jackson, PLC

Organization Dentist · NPI 1396276333

Dentistry by Design of Jackson, PLC provides Dentist services in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

306 W Washington Ave Ste 205
Jackson, MI 49201-2141
Phone: (517) 787-5055
Fax: (517) 787-9346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901020967 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1396276333
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDentistry by Design of Jackson, PLC
Authorized official Andrew Balaze — Dentist/Owner · (517) 787-5055
NPI enumeratedMarch 22, 2017
Last updated in NPPESAugust 7, 2019
Mailing address306 W Washington Ave Ste 205, Jackson, MI 49201-2141

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