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JEFFREY JACKY DENTURIST LD
NPI 1356791677
Denturist in Beaverton, OR

Active since June 17, 2016
4925 SW GRIFFITH DR, BEAVERTON, OR 97005(855) 433-6825 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2022, Jun 17, 2016 (2 updates tracked since 2016).

About Jeffrey Jacky Denturist Ld NPPES

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

JEFFREY JACKY DENTURIST LD (NPI 1356791677) is an individual denturist in Beaverton, Oregon, licensed in Oregon (DTDO709602) and active in the NPI registry since June 2016. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356791677
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameJEFFREY JACKYCredential: DENTURIST LD
Location Address4925 SW GRIFFITH DRBeaverton, OR 97005-2923
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Sole ProprietorYes
Enumeration DateJune 17, 2016
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1356791677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in OR · DTDO709602
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
4925 SW GRIFFITH DR, Beaverton, OR 97005
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Secondary Practice Locations 2

Location 13490 Lancaster Dr NESalem, OR 97305-1356 · Phone (855) 433-6825
Location 28931 SE Foster RdPortland, OR 97266-4661 · Phone (855) 433-6825

Other Providers at the Same Location NPPES 20

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

DR. CATHERINE BOM KIM D.M.D.
Dentist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. JONATHAN JUYUN KIM DDS
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. ESTRELLITA GITZEN RAMIREZ D.M.D.
Dentist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. MEREDITH LEIGH DUGONI D.M.D., M.S.D
Dentist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
MISS CHRISTINA LEE WILSON RDH,BSDH
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (503) 277-2014
WILLAMETTE DENTAL
Health Maintenance Organization
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
AVALON SPANGLER
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (855) 433-6825
DR. WILLIAM F TAINTER D.M.D.
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Washington County (503) 277-2014

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 Jeffrey Jacky's NPI number?

The NPI number for Jeffrey Jacky is 1356791677. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Jeffrey Jacky located?

Jeffrey Jacky practices at 4925 SW Griffith Dr, Beaverton, OR 97005. The listed phone number is (855) 433-6825.

What is Jeffrey Jacky's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Jacky was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.