MR. JACK JUSTIN DAVIS DDS
NPI 1235242652
Dentist - General Practice in Rifle, CO

Q: What is Jack Davis's NPI number?

The NPI number for Jack Davis is 1235242652. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Jack Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 17, 2006

543 WEST AVE, RIFLE, CO 81650(970) 625-1391(970) 625-9372 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Jack Justin Davis Dds NPPES

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

MR. JACK JUSTIN DAVIS DDS (NPI 1235242652) is an individual general practice provider in Rifle, Colorado, licensed in Colorado (104954) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1235242652

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. JACK JUSTIN DAVISCredential: DDS

Location Address543 WEST AVERifle, CO 81650-3553

Mailing Address543 West AveRifle, CO 81650-3553 · (970) 625-1391 · Fax (970) 625-9372

Phone(970) 625-1391

Fax(970) 625-9372

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235242652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 104954

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.

543 WEST AVE, Rifle, CO 81650

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. NATHAN MILLERBERG D.D.S.

Dentist (General Practice)

543 WEST AVE
RIFLE, CO 81650

Garfield County (970) 625-1391

MILLERBERG DENTAL LLC

Clinic/Center (Dental)

543 WEST AVE
RIFLE, CO 81650

Garfield County (970) 625-1391

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 Jack Davis's NPI number?

The NPI number for Jack Davis is 1235242652. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Jack Davis located?

Jack Davis practices at 543 West Ave, Rifle, CO 81650. The listed phone number is (970) 625-1391.

What is Jack Davis's specialty?

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

What insurance does Jack Davis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jack Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.