Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. JACOB DANIEL GARDNER DMD
NPI 1528966538
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since October 29, 2026
1210 E DIVISION ST, MOUNT VERNON, WA 98274(360) 336-5464 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jacob Daniel Gardner Dmd NPPES

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

DR. JACOB DANIEL GARDNER DMD (NPI 1528966538) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1528966538
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACOB DANIEL GARDNERCredential: DMD
Location Address1210 E DIVISION STMount Vernon, WA 98274-4102
Mailing Address1210 E Division StMount Vernon, WA 98274-4102 · (360) 336-5464
Sole ProprietorNo
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1528966538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1210 E DIVISION ST, Mount Vernon, WA 98274

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
1210 E DIVISION ST
MOUNT VERNON, WA 98274
Dentist (Orthodontics and Dentofacial Orthopedics)
1210 E DIVISION ST
MOUNT VERNON, WA 98274
Dentist (Orthodontics and Dentofacial Orthopedics)
1210 E DIVISION ST
MOUNT VERNON, WA 98274

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 Jacob Gardner's NPI number?

The NPI number for Jacob Gardner is 1528966538. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Jacob Gardner located?

Jacob Gardner practices at 1210 E Division St, Mount Vernon, WA 98274. The listed phone number is (360) 336-5464.

What is Jacob Gardner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Gardner was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.