Jeffrey Jacky, DENTURIST LD
NPI 1356791677 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4925 Sw Griffith Dr
Beaverton, OR 97005 - Phone
- (855) 433-6825
- Organisation at this address
- Willettedental
Willamette Dental
Willamette Dental
Willamette Dental
Willamette Dental GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 3490 Lancaster Dr Ne, Salem, OR
- 8931 Se Foster Rd, Portland, OR
Registry record
- Primary taxonomy
- Denturist
122400000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon