Jackson Northouse, DDS

NPI 1073443958 · on the registry since 2026

Practice

Address: 2024 Health Dr Sw Ste A
Wyoming, MI 49519
Phone: (616) 455-7370
Organisation at this address: Ila Enterprises Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Additional practice sites

12715 W M 179 Hwy, Wayland, MI

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan