| Dr Jack L Vandyke, DMD | |
|
640 Georig St, Woodland, WA 98674 | |
| (360) 225-9494 | |
| (360) 225-9495 |
| Full Name | Dr Jack L Vandyke |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 640 Georig St, Woodland, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417161555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4991 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack L Vandyke, DMD Po Box 1970, Woodland, WA 98674 Ph: (360) 225-9494 | Dr Jack L Vandyke, DMD 640 Georig St, Woodland, WA 98674 Ph: (360) 225-9494 |
Dr. Quinn J Draper, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 Pacific Ave, Woodland, WA 98674 Phone: 360-841-8525 | |
Dr. Bryan Carl Johnson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 500 Columbia St Ste B, Woodland, WA 98674 Phone: 360-225-5600 | |
Dr. Hadi Youssef, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 640 Goerig St, Woodland, WA 98674 Phone: 971-231-5124 | |
Eric G. Gurrad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1251 Lewis River Rd Ste D, Woodland, WA 98674 Phone: 360-703-6401 Fax: 360-841-8432 |