Jackson Family Dentistry LLC
Jackson Family Dentistry LLC provides General Practice Dentistry in Jackson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
N168W20060 Main StJackson, WI 53037-9382 Not confirmed with CMS for 11 years — call before visiting
Phone: (262) 677-3003
Fax: (262) 677-1641
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 3671-15 (WI) |
|---|
Record details
| NPI number | 1114317815 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Charmoli — Owner · (262) 677-3003 |
| NPI enumerated | February 2, 2015 |
| Last updated in NPPES | February 2, 2015 |
| Mailing address | N168w20060 Main St, Jackson, WI 53037-9382 |
Other providers in Jackson
-
Julie A Bloy, DDS
W213N16755 Glen Brooke Dr, Jackson, WI 53037-9489 · (262) 677-4990
-
Christine Natalie Bruno, DDS
W213N16755 Glen Brooke Dr, Jackson, WI 53037-9489 · (262) 677-4990
-
Dr. Benjamin Charles Heffter, DDS
N168W20060 Main St, Jackson, WI 53037-9380 · (262) 677-3003