MARCUS K JACKSON DMD
NPI 1063022499
Dentist in Ellensburg, WA

Q: What is Marcus Jackson's NPI number?

The NPI number for Marcus Jackson is 1063022499. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Q: What is Marcus Jackson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Jackson was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 31, 2020

521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926(509) 933-2400(509) 933-4804 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marcus K Jackson Dmd NPPES

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

MARCUS K JACKSON DMD (NPI 1063022499) is an individual dentist in Ellensburg, Washington, licensed in Washington (DE61086594) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1063022499

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMARCUS K JACKSONCredential: DMD

Location Address521 E MOUNTAIN VIEW AVEEllensburg, WA 98926-3865

Mailing Address501 S 5th AveYakima, WA 98902-3550 · (509) 494-6700 · Fax (509) 573-6275

Phone(509) 933-2400

Fax(509) 933-4804

Sole ProprietorNo

Enumeration DateJuly 31, 2020

NPPES CertifiedJuly 31, 2020

✔ NPI 1063022499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61086594

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

521 E MOUNTAIN VIEW AVE, Ellensburg, WA 98926

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Combined Life, Humana and more.Insurance ›

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