Jackson Van
DMD
Dentist - General Practice
About Jackson Van
Jackson Van, DMD, is a male healthcare professional specializing in Dentist - General Practice with a focus on General Practice, registered under National Provider Identifier (NPI) number 1083442164. Their primary practice is located at 20140 MCLOUGHLIN BLVD, Gladstone, Oregon 97027.
Patients can reach the office at (971) 404-1374. Jackson Van is authorized to prescribe medications. Jackson Van has been NPI-registered since 2024.
Doctor Details
Identity & Credentials
- NPI Number
- 1083442164
- Entity Type
- Individual
- First Name
- Jackson
- Last Name
- Van
- Credential
- DMD
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 20140 MCLOUGHLIN BLVD
- City
- Gladstone
- State
- Oregon
- ZIP
- 97027-2604
- Country
- United States
- Phone
- (971) 404-1374
Specialty & Taxonomy
- Primary Specialty
- Dentist - General Practice
- Classification
- Dentist
- Specialization
- General Practice
- Taxonomy Code
- 1223G0001X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 10952 SE LENORE ST
- City
- HAPPY VALLEY
- State
- OR
- ZIP
- 970868789
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Prescriber Information
- Authorized Prescriber
- Yes
Frequently Asked Questions
What is Jackson Van's NPI number?
What does Jackson Van specialize in?
Where is Jackson Van located?
Does Jackson Van accept Medicare?
Does Jackson Van offer telehealth or virtual visits?
Can Jackson Van prescribe medications?
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 Jackson Van is 1083442164.