P Praxis·MD
● Active Type 2 · Organization

Midway Family Dental

Dentist·Midway, GA· NPI 1780043000 · Enumerated 2016 · 10 years on NPI
Midway Family Dental is 1 of 4309 dentist organizations in Georgia.
NPI age
10 years
Enumerated 2016-02-15
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner
Last NPPES update
2016-02-15
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
1718 N Coastal Hwy
Midway, GA 313203415
📞 9128802288fax 9128802110
Mailing address
Po Box 134
Midway, GA 313200134
📞 9128802288fax 9128802110

Authorized official

Rollin B Jackson, D.M.D.
Owner
📞 9128802288

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    GA license #013091GA license #014447 taxonomy 1223G0001X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    GA license #014574 taxonomy 1223S0112X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • RB Jackson, III DMD
    Type code 3 recorded 2016-02-15

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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