Search › Washington › 1223G0001X
Amanda Jackson, D.D.S
NPI 1437370582 · on the registry since 2007
Practice
- Address
- 27081 185th Ave Se
Ste B105
Covington, WA 98042 - Phone
- (253) 981-4950
- Fax
- (253) 981-4952
- Organisation at this address
- Ryan Hanks
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
1223G0001X - Licence states on file
- CA, WA, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-24
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 Washington