Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Midway Family Dental

Organization General Practice Dentistry · NPI 1780043000

Midway Family Dental provides General Practice Dentistry in Midway, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

1718 N Coastal Hwy
Midway, GA 31320-3415 Not confirmed with CMS for 10 years — call before visiting
Phone: (912) 880-2288
Fax: (912) 880-2110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 013091 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 014447 (GA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 014574 (GA)

Record details

NPI number1780043000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rollin Jackson — Owner · (912) 880-2288
Other names Rb Jackson, Iii Dmd
NPI enumeratedFebruary 15, 2016
Last updated in NPPESFebruary 15, 2016
Mailing addressPo Box 134, Midway, GA 31320-0134

Other providers in Midway