Organization · Type 2 NPI
Jack D Jorgensen DMD PS
Dental Clinic/Center · Vancouver, WA
NPI number
1053413591
Active
Practice location
7107 NE Vancouver Mall Dr, Ste. #D
Vancouver, WA 98661-8178
Fax (360) 892-4170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DE00009473 (WA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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- Roman Zakhariya DMD PSDental Clinic/Center Vancouver, WA NPI 1033863345
- Gary T Gregg, DDS PSDental Clinic/Center Vancouver, WA NPI 1063666832
- Brian E Mahoney DMDDental Clinic/Center Vancouver, WA NPI 1083291405
- Kurt Truong, Dds, Msd, PLLCDental Clinic/Center Vancouver, WA NPI 1093268161
About NPI 1053413591
Jack D Jorgensen DMD PS's National Provider Identifier is 1053413591, issued on Sep 4, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 22, 2020.