Healthcare Provider Details

I. General information

NPI: 1699683375
Provider Name (Legal Business Name): SUMMIT POINTE DENTAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 SPRING ARBOR RD STE C
JACKSON MI
49203-2888
US

IV. Provider business mailing address

2002 SPRING ARBOR RD STE C
JACKSON MI
49203-2888
US

V. Phone/Fax

Practice location:
  • Phone: 517-782-0900
  • Fax:
Mailing address:
  • Phone: 517-782-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ATIF
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 914-704-6308