DR. AMANDA JACKSON D.D.S. NPI 1437370582

NPI Information

NPI: 1437370582
Provider Name: DR. AMANDA JACKSON, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
27081 185TH AVE SE
STE B105
COVINGTON, WA
ZIP 98042
Phone: (253) 981-4950
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DR. Amanda Jackson, D.D.S. is a general practice dentist in Covington, WA. The provider is 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. DR. Amanda Jackson, D.D.S. NPI is 1437370582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27081 185TH AVE SE
STE B105
COVINGTON, WA
ZIP 98042-448
Phone: (253) 981-4950
Fax: (253) 981-4952

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/24/2014.

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	122300000X	Dentist		54679	CALIFORNIA	No
2	1223G0001X	Dentist	General Practice	DE 60447313	WASHINGTON	Yes
3	1223G0001X	Dentist	General Practice	8846	KENTUCKY	No

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: 5/5/2024

NPI Synchronization or Removal

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