West Clinton Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST CLINTON FAMILY DENTISTRY, LLC

Practice address

250 W Clinton St Ste 5
Gray, GA 31032-5463

Phone

(478) 986-1830

NPI assigned

May 13, 2026

Last updated

May 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob A. Jenkins, DMDNPI 1558258160

Title

General Dentist/Owner

Phone

(206) 458-8422

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob A. Jenkins, DMD

  • General Practice Dentistry
  • Gray, GA
  • NPI 1558258160
  NPD Authorized official

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1861320384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W CLINTON ST STE 5",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325463",
            "telephone_number": "478-986-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W CLINTON ST STE 5",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325463",
            "telephone_number": "478-986-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CLINTON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "206-458-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayla Sue Whitley, DNP, APRN, FNP-C
• Michael Christopher Williamson, LMFT
• Catherine Marie Wilson, FNP
• Kimberlyn Jena Wilson, PT, DPT
• Sandra Baird Wilson, FNP-C

• General Practice Dentistry in Gray, GA
• Providers in Gray, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.