Individual provider · Type 1 NPI

Gary J. Jacky, DMD

Dentist · Edmonds, WA

NPI number 1154380210 Active

Practice location

7533 Olympic View Dr, Suite C
Edmonds, WA 98026-5524

Fax (425) 776-8173

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDE00005902 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1154380210

Gary J. Jacky, DMD's National Provider Identifier is 1154380210, issued on Mar 18, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Edmonds, WA. The record was last updated on Jul 13, 2026.