ADVANCED DENTAL CONCEPTS
NPI 1053413591
Clinic/Center - Dental in Vancouver, WA

Active since September 04, 2006
7107 NE VANCOUVER MALL DR, STE. #D, VANCOUVER, WA 98661(360) 892-6555(360) 892-4170 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dental Concepts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DENTAL CONCEPTS (NPI 1053413591) is a healthcare organization registered as a dental in Vancouver, Washington and active in the NPI registry since September 2006. The organization lists Jack Denzil Jorgensen, President, as its authorized official.

NPPES Registry Identity

NPI1053413591
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACK D JORGENSEN DMD PS
Location Address7107 NE VANCOUVER MALL DR, STE. #DVancouver, WA 98661-8178
Mailing Address7107 Ne Vancouver Mall Dr, Ste. #dVancouver, WA 98661-8178 · (360) 892-6555 · Fax (360) 892-4170
Fax(360) 892-4170
Organization SubpartNo
Authorized OfficialJack Denzil JorgensenPresident · (360) 892-6555
Enumeration DateSeptember 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1053413591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in WA · DE00009473
7107 NE VANCOUVER MALL DR, Vancouver, WA 98661

Other Names 1

Doing Business AsAdvanced Dental Concepts

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
7107 NE VANCOUVER MALL DR, SUITE D
VANCOUVER, WA 98661
Dentist
7107 NE VANCOUVER MALL DR, SUITE #D
VANCOUVER, WA 98661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack D Jorgensen Dmd Ps's NPI number?

The NPI number for Jack D Jorgensen Dmd Ps is 1053413591. It was assigned to this organization in the NPPES registry on September 4, 2006. The provider is doing business as Advanced Dental Concepts.

Where is Jack D Jorgensen Dmd Ps located?

Jack D Jorgensen Dmd Ps is located at 7107 NE Vancouver Mall Dr Ste. #d, Vancouver, WA 98661. The listed phone number is (360) 892-6555.

What is Jack D Jorgensen Dmd Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jack D Jorgensen Dmd Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.