OrganizationActive
Jackson Family Dentistry LLC
NPI 1114317815 · General Practice Dentistry · Jackson, WI
Jackson Family Dentistry LLC is a General Practice Dentistry organization in Jackson, WI (NPI 1114317815).
Provider details
- NPI number
- 1114317815
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Scott Charmoli, Owner(262) 677-3003
- License
- 3671-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
N168w20060 Main St
Jackson, WI 53037-9382
Phone: (262) 677-3003
Fax: (262) 677-1641
Street-level locationGet directions
Mailing address
N168w20060 Main St
Jackson, WI 53037-9382
Registry dates
- Enumerated
- 2015-02-02
- Last updated
- 2015-02-02
Frequently asked questions
- What is Jackson Family Dentistry LLC's NPI number?
- Jackson Family Dentistry LLC's National Provider Identifier (NPI) is 1114317815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Family Dentistry LLC?
- Jackson Family Dentistry LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jackson Family Dentistry LLC located?
- Jackson Family Dentistry LLC's practice location on file with NPPES is N168w20060 Main St, Jackson, WI 53037-9382.
- What is Jackson Family Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Family Dentistry LLC is (262) 677-3003.
- Who is the authorized official for Jackson Family Dentistry LLC?
- The authorized official listed on Jackson Family Dentistry LLC's NPPES record is Scott Charmoli, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Family Dentistry LLC's NPI active?
- Yes — Jackson Family Dentistry LLC's NPI (1114317815) is active in the NPPES registry as of the last update on 2015-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.