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JACKSON VAN DMD
NPI 1083442164
Dentist - General Practice in Gladstone, OR

Active since July 22, 2024
20140 MCLOUGHLIN BLVD, GLADSTONE, OR 97027(971) 404-1374 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Jul 22, 2024 (2 updates tracked since 2024).

About Jackson Van Dmd NPPES

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

JACKSON VAN DMD (NPI 1083442164) is an individual general practice provider in Gladstone, Oregon, licensed in Oregon (D12050) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1083442164
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACKSON VANCredential: DMD
Location Address20140 MCLOUGHLIN BLVDGladstone, OR 97027-2604
Mailing Address10952 Se Lenore StHappy Valley, OR 97086-8789 · (503) 475-9235
Phone(971) 404-1374
Sole ProprietorYes
Enumeration DateJuly 22, 2024
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1083442164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D12050
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
20140 MCLOUGHLIN BLVD, Gladstone, OR 97027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

HONEYMINT PEDIATRIC DENTISTRY - GLADSTONE
Dentist (Pediatric Dentistry)
20140 MCLOUGHLIN BLVD
GLADSTONE, OR 97027
Clackamas County (971) 404-4765
GLADSTONE SMILES DENTISTRY PC
Dentist
20140 MCLOUGHLIN BLVD
GLADSTONE, OR 97027
Clackamas County (503) 420-3454
WILLOW DENTAL GROUP LLC
Dentist (General Practice)
20140 MCLOUGHLIN BLVD
GLADSTONE, OR 97027
Clackamas County (971) 707-0117

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 Jackson Van's NPI number?

The NPI number for Jackson Van is 1083442164. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Jackson Van located?

Jackson Van practices at 20140 Mcloughlin Blvd, Gladstone, OR 97027. The listed phone number is (971) 404-1374.

What is Jackson Van's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jackson Van accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Jackson Van as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Van was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.