| Mac Jackson Iii Dmd Pllc | |
|
13115 Ne 4th St Ste 250 Vancouver WA 98684-5960 | |
| (541) 490-9126 | |
| Not Available |
| Full Name | Mac Jackson Iii Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13115 Ne 4th St Ste 250, Vancouver, Washington |
| Authorized Official Name and Position | John Pugh (PRACTICE MANAGER) |
| Authorized Official Contact | 3602567455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mac Jackson Iii Dmd Pllc 13115 Ne 4th St Ste 250 Vancouver WA 98684-5960 Ph: (541) 490-9126 | Mac Jackson Iii Dmd Pllc 13115 Ne 4th St Ste 250 Vancouver WA 98684-5960 Ph: (541) 490-9126 |
| NPI Number | 1750229423 |
|---|---|
| Provider Enumeration Date | 03/24/2026 |
| Last Update Date | 05/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750229423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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