JEFFREY JACKY DENTURIST LD NPI 1356791677

NPI Information

NPI: 1356791677
Provider Name: JEFFREY JACKY, DENTURIST LD
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
5935 SE ALEXANDER ST
HILLSBORO, OR
ZIP 97123
Phone: (855) 433-6825
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Jeffrey Jacky, DENTURIST LD is a denturist in Hillsboro, OR. The provider is definition to come. Jeffrey Jacky, DENTURIST LD NPI is 1356791677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5935 SE ALEXANDER ST
HILLSBORO, OR
ZIP 97123-575
Phone: (855) 433-6825

The enumeration date for this NPI number is 6/17/2016 and was last updated on 9/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122400000X	Denturist		DTDO709602	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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