Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON VAN, DMD
Active Sole ProprietorGeneral Dentistry · GLADSTONE, OR
Registration Details
- NPI Number
- 1083442164
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2024 (1.8160707677764 yrs)
- Last Updated
- Nov 18, 2024
- License
-
D12050 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20140 MCLOUGHLIN BLVDGLADSTONE, OR, 970272604Browse OR providers · Browse ZIP 97027
- Phone
- 9714041374
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GLADSTONE, OR
| Name | Credential | NPI |
|---|---|---|
| WILLIAM ARNOLD BEUTLER | DMD PC | 1407847304 |
| DR. CANDACE LEE KRAUSE | D.M.D. | 1568422103 |
| DR. JEREMY S KATO | DDS | 1922116359 |
| DR. BERNARD DEAN BOS | D.D.S. | 1427187764 |
| DR. DENNIS THOMAS ADAIR | D.M.D. | 1215235148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.