Amanda Jackson, D.D.S.

General Practice Dentistry · Covington, WA

Individual Active NPI

NPI number 1437370582

Practice location

27081 185TH Ave SE
Ste B105
Covington, WA 98042-8448
Phone
(253) 981-4950
Fax
(253) 981-4952

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NPI record

NPI
1437370582
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
November 24, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE 60447313 WA
Dentist 122300000X 54679 CA
General Practice Dentistry 1223G0001X 8846 KY

About Dr. Jackson

Amanda Jackson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 27081 185TH Ave SE, Ste B105, Covington, WA 98042-8448. The NPI number 1437370582 was assigned on May 2, 2007 and the record was last updated on November 24, 2014.

Dr. Jackson lists 3 licenses in the registry: #DE 60447313 (WA) for General Practice Dentistry; #54679 (CA) for Dentist; #8846 (KY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Jackson, D.D.S.?

The NPI number is 1437370582.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (253) 981-4950.

Where is Dr. Jackson located?

27081 185TH Ave SE, Ste B105, Covington, WA 98042-8448.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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