Healthcare Provider Details

I. General information

NPI: 1457288201
Provider Name (Legal Business Name): JCM DENTAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 AIRPORT RD STE 1100
BROWNSBURG IN
46112-2046
US

IV. Provider business mailing address

20 AIRPORT RD STE 1100
BROWNSBURG IN
46112-2046
US

V. Phone/Fax

Practice location:
  • Phone: 317-852-1446
  • Fax: 317-852-1449
Mailing address:
  • Phone: 317-852-1446
  • Fax: 317-852-1449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA CATHRINE MILLER
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 317-691-8550