FAMILY DENTAL CENTER OF JACKSON – NPI #1316024557
Clinic/Center

FAMILY DENTAL CENTER OF JACKSON is an AHC clinic located in JACKSON, OH. NPPES has assigned the NPI number 1316024557 to FAMILY DENTAL CENTER OF JACKSON on November 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY DENTAL CENTER OF JACKSON” is a dba name, the actual legal business name for this organization is DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY DENTAL CENTER OF JACKSON below.

NPI Profile for
DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC

NPI Number
1316024557
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC
Doing Business As (dba): FAMILY DENTAL CENTER OF JACKSON
Primary location
345 E MAIN ST
SUITE E
JACKSON, OH 45640
Phone: (740) 288-0208 Fax: (740) 288-9878
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAN GREEN
BUSINESS MANAGER
Phone: (740) 773-4066
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.