Midway Family Dental is a dental clinic (Dentist - General Practice) in Midway, Georgia. The current practice location for Midway Family Dental is 1718 N Coastal Hwy, Midway, Georgia. For appointments, you can reach them via phone at
(912) 880-2288. The mailing address for Midway Family Dental is Po Box 134, Midway, Georgia and phone number is (912) 880-2288.
Midway Family Dental is licensed to practice in Georgia (license number 013091) and its
NPI number is 1780043000. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(912) 880-2288.
Dental Care Clinic Profile
| Full Name | Midway Family Dental |
|---|
| Speciality | Dentist - General Practice |
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| Location | 1718 N Coastal Hwy, Midway, Georgia |
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| Authorized Official Name and Position | Rollin B Jackson (OWNER) |
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| Authorized Official Contact | 9128802288 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Midway Family Dental
Po Box 134
Midway
GA 31320-0134
Ph: (912) 880-2288 | Midway Family Dental
1718 N Coastal Hwy
Midway
GA 31320-3415
Ph: (912) 880-2288 |
NPI Details:
| NPI Number | 1780043000 |
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| Provider Enumeration Date | 02/15/2016 |
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| Last Update Date | 02/15/2016 |
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Medical Identifiers
Medical identifiers for Midway Family Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780043000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 014447 (Georgia) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 014574 (Georgia) | Secondary |
| 1223G0001X | Dentist - General Practice | 013091 (Georgia) | Primary |
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