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

TaxonomyCodeLicense
Denturist Primary 122400000XDTDO709602 (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

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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.