NPI
Jackson Family Dentistry Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-02-02
- Last updated
- 2015-02-02
Specialties
Licenses
- License WI
- 3671-15
Location
- Practice location
- N168w20060 Main St
- City
- Jackson WI
- Postal code
- 53037-9382
- Phone
- (262) 677-3003
Organization contact
- Name
- SCOTT CHARMOLI
- Title
- Owner
- Phone
- 2626773003
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jackson, WI. 96 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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