Individual provider · Type 1 NPI
Jeffrey Jacky, DENTURIST LD
Denturist · Beaverton, OR
NPI number
1356791677
Active
Practice location
4925 SW Griffith Dr
Beaverton, OR 97005-2923
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Other practice locations
- 3490 Lancaster Dr NE, Salem, OR 97305-1356 · (855) 433-6825
- 8931 SE Foster Rd, Portland, OR 97266-4661 · (855) 433-6825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DTDO709602 (OR) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
30 other providers at this address
- Willamette DentalHealth Maintenance Organization Beaverton, OR NPI 1194143065
- Willamette DentalPreferred Provider Organization Beaverton, OR NPI 1356771786
- Willamette Dental GroupHealth Maintenance Organization Beaverton, OR NPI 1457763195
- WillettedentalPreferred Provider Organization Beaverton, OR NPI 1710317482
- Amanda Jo Yoder, RDHDental Hygienist Beaverton, OR NPI 1982123014
- Avalon SpanglerDental Hygienist Beaverton, OR NPI 1265202527
- Catherine Bom Kim, DMDDentist Beaverton, OR NPI 1003268319
- Christina Lee Wilson, RDH, BSDHDental Hygienist Beaverton, OR NPI 1154741445
- Dang Khoa Trinh Nguyen, DMDGeneral Practice Dentistry Beaverton, OR NPI 1467052639
- Elina Budrevich, RDHDental Hygienist Beaverton, OR NPI 1811375421
- Estrellita Gitzen Ramirez, DMDDentist Beaverton, OR NPI 1053764910
- Gary V. Dixon, DDSGeneral Practice Dentistry Beaverton, OR NPI 1447361381
Other denturist providers in Beaverton
About NPI 1356791677
Jeffrey Jacky, DENTURIST LD's National Provider Identifier is 1356791677, issued on Jun 17, 2016. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Beaverton, OR. The record was last updated on Jun 26, 2023.