Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417578717 Individual Practitioner Male Practitioner

Jake Laxer

Dentist - General Practice • Wpafb, OH

Professional Overview & Biography Verified Profile Summary

Jake Laxer is a registered healthcare professional specializing in Dentist - General Practice in Wpafb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wpafb, OH 454335529

Telephone 9372578761

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wpafb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Wpafb, OH (4287 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

CMS Verified: 2025-08-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 11866

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

15 Associated Practitioners
Dr. John Warnick , DDS

Dentist - General Practice

NPI 1083605703

Doctor of Dental Surgery

Dr. David Rupp , DDS

Dentist - General Practice

NPI 1114908225

Doctor of Dental Surgery

Lori Saturley , RDH

Dental Hygienist

NPI 1154974095

Registered Dental Hygienist

NPI 1245172261
NPI 1326295213

Doctor of Dental Surgery

Dr. Gary Mayne , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1417017120

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 13, 2025

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335529 (Tel: 9372578761)

📍
Updated Business Mailing Address August 13, 2025

Registered at 88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45433

📍
Updated Business Mailing Address September 21, 2023

Registered at 204 W HILL BLVD, JOINT BASE CHARLESTON, SC 294044704 (Tel: 8439636880)

📍
Updated Practice Location August 30, 2023

Registered at 204 W HILL BLVD, JOINT BASE CHARLESTON, SC 294044704 (Tel: 8439636880)

📍
Updated Business Mailing Address August 30, 2023

Registered at 3530 VERDIER BLVD UNIT 1023, CHARLESTON, SC 294147981

📍
Updated Practice Location August 27, 2021

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 963685142 (Tel: 0989604817)

📍
Updated Business Mailing Address August 27, 2021

Registered at PSC 80 BOX 12181, APO, AP 963670024

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2021

Dentist (License #11866 in NC)

NPI Profile Active April 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2020

Registered at 385 S COLUMBIA STREET, CHAPEL HILL, NC 275990001 (Tel: 9195373737)

📍
Updated Business Mailing Address April 28, 2020

Registered at 10113 OXFORD LANDING LN, CHARLOTTE, NC 282701165 (Tel: 7043159972)

👤
Provider Name / Credentials Updated April 28, 2020

Recorded as JAKE LAXER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 28, 2020

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: 1417578717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2020
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

88th Medical Group, 4881 Sugar Maple Dr.

Wpafb, OH 45433

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.