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JACKSON CREEK DENTAL GROUP
NPI 1124270137
Dentist - General Practice in Jackson, CA

Active since October 21, 2008
100 FRENCH BAR RD, SUITE 101, JACKSON, CA 95642(209) 223-2712(209) 223-2719 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Creek Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON CREEK DENTAL GROUP (NPI 1124270137) is a healthcare organization registered as a general practice in Jackson, California and active in the NPI registry since October 2008. The organization lists Ron Mihran Ask, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1124270137
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameASK, KINZER, SIMPSON, AND RODA A PROFESSIONA DENTAL CORP
Location Address100 FRENCH BAR RD, SUITE 101Jackson, CA 95642-2557
Mailing Address100 French Bar Rd, Suite 101Jackson, CA 95642-2557 · (209) 223-2712 · Fax (209) 223-2719
Phone(209) 223-2712
Fax(209) 223-2719
Organization SubpartNo
Authorized OfficialRon Mihran AskChief Financial Officer · (209) 223-2096
Enumeration DateOctober 21, 2008
Last NPPES UpdateFebruary 18, 2015
✔ NPI 1124270137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 26949✔ Licensed in CA · 033946✔ Licensed in CA · 40117✔ Licensed in CA · 41781
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
100 FRENCH BAR RD, Jackson, CA 95642
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Other Names 1

Doing Business AsJackson Creek Dental Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEON RODA III D.D.S.
Dentist (General Practice)
100 FRENCH BAR RD, SUITE 101
JACKSON, CA 95642
Amador County (209) 223-2712
DR. CRAIG ALLEN KINZER DDS
Dentist (General Practice)
100 FRENCH BAR RD, SUITE 101
JACKSON, CA 95642
Amador County (209) 223-2712
ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP
Dentist (Periodontics)
100 FRENCH BAR RD, SUITE 103
JACKSON, CA 95642
Amador County (209) 223-3502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ask, Kinzer, Simpson, And Roda A Professiona Dental Corp's NPI number?

The NPI number for Ask, Kinzer, Simpson, And Roda A Professiona Dental Corp is 1124270137. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider is doing business as Jackson Creek Dental Group.

Where is Ask, Kinzer, Simpson, And Roda A Professiona Dental Corp located?

Ask, Kinzer, Simpson, And Roda A Professiona Dental Corp is located at 100 French Bar Rd Suite 101, Jackson, CA 95642. The listed phone number is (209) 223-2712.

What is Ask, Kinzer, Simpson, And Roda A Professiona Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ask, Kinzer, Simpson, And Roda A Professiona Dental Corp was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.