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Contact Information

JACKSON FAMILY DENTISTRY
202 RESERVE
MUNCIE, IN47303
 Phone: 765-284-7242
 Fax: 765-289-8331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JACKSON FAMILY DENTISTRY

NPI Number 1326250325
LBN Legal business name JACKSON FAMILY DENTISTRY
Authorized official CARL JACKSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN License # 12010844A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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