Healthcare Provider Details

I. General information

NPI: 1396667721
Provider Name (Legal Business Name): FAMILY TREE DENTAL-CALDWELL D.AUSTIN REHL,DDS, PETER E. LOVEJOY,DDS, JAREK S. ATWOOD,DDS, JORDAN K.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44352 SUITE B FAIRGROUND RD
CALDWELL OH
43724
US

IV. Provider business mailing address

44352 SUITE B FAIRGROUND RD
CALDWELL OH
43724
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-7060
  • Fax: 740-371-5132
Mailing address:
  • Phone: 740-374-7060
  • Fax: 740-371-5132

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. DOANLD AUSTIN REHL
Title or Position: OWNER
Credential: DDS
Phone: 740-374-7060