Organization
WEST CLINTON FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB A. JENKINS DMD (GENERAL DENTIST/OWNER)
(206) 458-8422
Entity
Organization
Contact information
Practice address
250 W CLINTON ST STE 5, GRAY, GA 31032-5463
(478) 986-1830
Mailing address
250 W CLINTON ST STE 5, GRAY, GA 31032-5463
(478) 986-1830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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