Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fourth Street Dental, PLLC

Organization General Practice Dentistry · NPI 1710303599

Fourth Street Dental, PLLC provides General Practice Dentistry in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2027 4th St
Jackson, MI 49203-4572 Not confirmed with CMS for 12 years — call before visiting
Phone: (517) 787-9630
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19773 (MI)

Record details

NPI number1710303599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Pound — Member · (517) 787-9630
NPI enumeratedMarch 17, 2014
Last updated in NPPESMarch 17, 2014
Mailing address2027 4th St, Jackson, MI 49203-4572

Other providers in Jackson