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DR. JACK L VANDYKE DMD
NPI 1417161555
Dentist in Woodland, WA

Active since May 09, 2007
640 GEORIG ST, WOODLAND, WA 98674(360) 225-9494(360) 225-9495 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack L Vandyke Dmd NPPES

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

DR. JACK L VANDYKE DMD (NPI 1417161555) is an individual dentist in Woodland, Washington, licensed in Washington (4991) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1417161555
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK L VANDYKECredential: DMD
Location Address640 GEORIG STWoodland, WA 98674
Mailing AddressPo Box 1970Woodland, WA 98674 · (360) 225-9494 · Fax (360) 225-9495
Phone(360) 225-9494
Fax(360) 225-9495
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417161555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 4991
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.
640 GEORIG ST, Woodland, WA 98674
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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 Vandyke's NPI number?

The NPI number for Jack Vandyke is 1417161555. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Jack Vandyke located?

Jack Vandyke practices at 640 Georig St, Woodland, WA 98674. The listed phone number is (360) 225-9494.

What is Jack Vandyke's specialty?

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

What insurance does Jack Vandyke accept?

Health plans from PacificSource Health Plans list Jack Vandyke 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 Jack Vandyke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.