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JACOB D GROOM DMD PLLC
NPI 1699560300
Dentist - General Practice in Vancouver, WA

Active since April 12, 2025
19111 SE 34TH ST STE 104, VANCOUVER, WA 98683(360) 823-0427 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Apr 12, 2025 (2 updates tracked since 2025).

About Jacob D Groom Dmd Pllc NPPES

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

JACOB D GROOM DMD PLLC (NPI 1699560300), doing business as Hiddenbrook Dental, is a healthcare organization registered as a general practice in Vancouver, Washington and active in the NPI registry since April 2025. The organization lists Jacob Groom, Member, as its authorized official.

NPPES Registry Identity

NPI1699560300
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACOB D GROOM DMD PLLC
Location Address19111 SE 34TH ST STE 104Vancouver, WA 98683-1449
Mailing Address19111 Se 34th St Ste 104Vancouver, WA 98683-1449 · (360) 823-0427
Phone(360) 823-0427
Organization SubpartNo
Authorized OfficialJacob GroomMember · (503) 702-6532
Enumeration DateApril 12, 2025
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1699560300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
19111 SE 34TH ST STE 104, Vancouver, WA 98683
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Other Names 1

Doing Business AsHiddenbrook Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL JOHN SPARROW D.M.D.
Dentist
19111 SE 34TH ST STE 104
VANCOUVER, WA 98683
Clark County (360) 823-0427
COSMO YUCHEN PENG DDS
Dentist (General Practice)
19111 SE 34TH ST STE 104
VANCOUVER, WA 98683
Clark County (360) 823-0427

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 D Groom Dmd PLLC's NPI number?

The NPI number for Jacob D Groom Dmd PLLC is 1699560300. It was assigned to this organization in the NPPES registry on April 12, 2025. The provider is doing business as Hiddenbrook Dental.

Where is Jacob D Groom Dmd PLLC located?

Jacob D Groom Dmd PLLC is located at 19111 SE 34th St Ste 104, Vancouver, WA 98683. The listed phone number is (360) 823-0427.

What is Jacob D Groom Dmd PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob D Groom Dmd PLLC was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.