Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306988571 Individual Practitioner Male Practitioner

Dr. Rollin B Jackson , DMD

Dentist - General Practice • Midway, GA

Professional Overview & Biography Verified Profile Summary

Dr. Rollin Jackson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Midway, GA. Practice services are available at 1718 N COASTAL HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1718 N Coastal Hwy

Midway, GA 313203415

Telephone 9128802288
Fax 9128802110
Associated Practice Facility / Clinic
🏢 Midway Family Dental Facility NPI 1780043000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midway, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Midway, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013091

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Justin Pennington , DMD

Dentist - General Practice

NPI 1225523582

Doctor of Dental Medicine

Dr. Kazem Sadati , DDS

Dentist - General Practice

NPI 1437570082

Doctor of Dental Surgery

Jessica Wimberly

Dental Hygienist

NPI 1558967869
Chet Bundy , RDH

Dental Hygienist

NPI 1811404494

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2016

Registered at 1718 N COASTAL HWY, MIDWAY, GA 313203415 (Tel: 9128802288)

📍
Updated Business Mailing Address November 09, 2016

Registered at PO BOX 134, MIDWAY, GA 313200134 (Tel: 9128802288)

👤
Provider Name / Credentials Updated November 09, 2016

Recorded as ROLLIN JACKSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Dentist (License #DN013091 in GA)

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306988571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: November 09, 2016
Sole Proprietor: Yes

Mailing Address

Po Box 134

Midway, GA 313200134

Phone: 9128802288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.