Individual provider · Type 1 NPI
Jacob Groom, DMD
General Practice Dentistry · Vancouver, WA
NPI number
1902476682
Active
Practice location
7012 NE 40th St
Vancouver, WA 98661-3052
Mailing address
4530 NW Walden St
Camas, WA 98607-9130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DE61203036 (WA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3 other providers at this address
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- John Robert Sundell, DDSGeneral Practice Dentistry Vancouver, WA NPI 1023037637
- Kristine H. Pham, DMDGeneral Practice Dentistry Vancouver, WA NPI 1023184033
- Kathleen Marie Hanson, DMDGeneral Practice Dentistry Vancouver, WA NPI 1023360963
- Stephen K. Wu, DDSGeneral Practice Dentistry Vancouver, WA NPI 1033200308
About NPI 1902476682
Jacob Groom, DMD's National Provider Identifier is 1902476682, issued on Jun 25, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vancouver, WA. The record was last updated on Apr 11, 2025.