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IndividualActivePrescriber

Dr. Jack L Vandyke

DMD

Dentist

NPI: 1417161555Woodland, Washington, 98674(360) 225-9494Male

About Dr. Jack L Vandyke

Dr. Jack L Vandyke, DMD, is a male healthcare professional specializing in Dentist, registered under National Provider Identifier (NPI) number 1417161555. Their primary practice is located at 640 GEORIG ST, Woodland, Washington 98674.

Patients can reach the office at (360) 225-9494. Dr. Jack L Vandyke is authorized to prescribe medications. Dr. Jack L Vandyke has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1417161555
Entity Type
Individual
First Name
Jack
Last Name
Vandyke
Credential
DMD
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
640 GEORIG ST
City
Woodland
State
Washington
ZIP
98674
Country
United States
Phone
(360) 225-9494
Fax
(360) 225-9495

Specialty & Taxonomy

Primary Specialty
Dentist
Classification
Dentist
Taxonomy Code
122300000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 1970
City
WOODLAND
State
WA
ZIP
98674

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Dr. Jack L Vandyke's NPI number?
Dr. Jack L Vandyke's National Provider Identifier (NPI) is 1417161555. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Jack L Vandyke specialize in?
Dr. Jack L Vandyke specializes in Dentist.
Where is Dr. Jack L Vandyke located?
Dr. Jack L Vandyke practices at 640 GEORIG ST, Woodland, Washington 98674. You can reach them by phone at (360) 225-9494.
Does Dr. Jack L Vandyke accept Medicare?
Based on available data, Dr. Jack L Vandyke is not currently enrolled in the Medicare program.
Does Dr. Jack L Vandyke offer telehealth or virtual visits?
Dr. Jack L Vandyke does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Jack L Vandyke prescribe medications?
Yes, Dr. Jack L Vandyke is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jack L Vandyke is 1417161555.