# DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dental Center of Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316024557
- **Authorized official:** JAN GREEN (BUSINESS MANAGER)
- **Authorized official phone:** (740) 773-4066

## Contact information

- **Practice address:** 345 E MAIN ST, SUITE E, JACKSON, OH 45640
- **Practice address phone:** (740) 288-0208
- **Practice address fax:** (740) 288-9878
- **Mailing address:** 345 E MAIN ST, SUITE E, JACKSON, OH 45640
- **Mailing address phone:** (740) 288-0208
- **Mailing address fax:** (740) 288-9878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020