Fourth Street Dental, Pllc is a Dental Clinic in Jackson, Michigan. It is located at 2027 4th St, Jackson, MI and its contact number is 517-787-9630. The authorized person for Fourth Street Dental, Pllc is Nathan Shane Pound
who is Member of the clinic and their contact number is 517-787-9630. The primary license number for Fourth Street Dental, Pllc is 19773 (General Practice) in Michigan.
Fourth Street Dental, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Fourth Street Dental, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Fourth Street Dental, Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2027 4th St, Jackson,
Michigan, 49203-4572 |
| Phone: | 517-787-9630 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Nathan Shane Pound |
| Position: | Member |
| Contact Number: | 517-787-9630 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fourth Street Dental, Pllc clinic are as mentioned below.
| NPI Number: | 1710303599 |
| NPI Enumeration Date: | 17 Mar, 2014 |
| NPI Last Update On: | 17 Mar, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fourth Street Dental, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 19773 | Michigan | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Fourth Street Dental, Pllc
2027 4th St,
Jackson, Michigan |
| Zip: | 49203-4572 |
| Phone Number: | 517-787-9630 |
Patients can reach Fourth Street Dental, Pllc at
2027 4th St, Jackson, Michigan or can
call to book an appointment on 517-787-9630.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.