NPIMap

Organization Active NPI

Donna J Miller DMD Daniel F Green DDS & Jeremy D Crabtree DDS Inc

Doing business as Family Dental Center of Jackson

  • Dental Clinic/Center
  • Jackson, OH
National Provider Identifier
1316024557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC
Doing business as
Family Dental Center of Jackson
Practice address
345 E Main St
Suite E
Jackson, OH 45640
Phone
(740) 288-0208
Fax
(740) 288-9878
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jan Green
Title
Business Manager
Phone
(740) 773-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

345 E Main St
Suite E
Jackson, OH 45640

Mailing address

345 E Main St
Suite E
Jackson, OH 45640
Phone (740) 288-0208

Other names 1

  • Family Dental Center of Jackson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donna J Miller DMD Daniel F Green DDS Jeremy D Crabtree DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

345 E Main St
Ste E
Jackson, OH 45640
Phone (740) 288-0208

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316024557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E MAIN ST",
            "address_2": "SUITE E",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-288-0208",
            "fax_number": "740-288-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E MAIN ST",
            "address_2": "SUITE E",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-288-0208",
            "fax_number": "740-288-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "740-773-4066"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.