Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midway Family Dental

Organization General Practice Dentistry · NPI 1780043000

Midway Family Dental is a General Practice Dentistry in Midway, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

1718 N Coastal Hwy
Midway, GA 31320-3415
Phone: (912) 880-2288
Fax: (912) 880-2110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 013091 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 014447 (GA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 014574 (GA)

Record details

NPI number1780043000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rollin Jackson — Owner · (912) 880-2288
Other names Rb Jackson, Iii Dmd
NPI enumeratedFebruary 15, 2016
Last updated in NPPESFebruary 15, 2016
Mailing addressPo Box 134, Midway, GA 31320-0134

Other providers in Midway