Mr. Jack Justin Davis, DDS
Mr. Jack Justin Davis is a General Practice Dentistry provider (Dentist) practicing in Rifle, CO, registered in the NPPES registry with NPI 1235242652 since 2006. The credential DDS stands for Doctor of Dental Surgery. Practices at Millerberg Dental LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235242652 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Jack Justin Davis |
| Credential | DDS |
| Sex | Male |
| Practice address | 543 WEST AVE, Rifle, CO, 81650 |
| Phone | 9706251391 |
| Fax | 9706259372 |
| Enumeration date | 2006-08-17 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 104954 | CO |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Jack Davis, DDS NPI: 1235242652 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 543 WEST AVE, Rifle, CO, 81650
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326732843 | Nathan Millerberg | Individual | General Practice Dentistry | Rifle, CO |
| 1720892219 | Millerberg Dental LLC | Organization | Dental Clinic/Center | Rifle, CO |
Verify this record
Cross-check NPI 1235242652 against the authoritative CMS record: view Mr. Jack Justin Davis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1235242652 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.