MAC JACKSON III DMD PLLC
NPI 1750229423
Clinic/Center - Dental in Vancouver, WA
Active since March 24, 2026
About Mac Jackson Iii Dmd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAC JACKSON III DMD PLLC (NPI 1750229423) is a healthcare organization registered as a dental in Vancouver, Washington and active in the NPI registry since March 2026. The organization lists John Pugh, Practice Manager, as its authorized official.
NPPES Registry Identity
NPI1750229423
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAC JACKSON III DMD PLLC
Location Address13115 NE 4TH ST STE 250Vancouver, WA 98684-5960
Mailing Address13115 Ne 4th St Ste 250Vancouver, WA 98684-5960 · (541) 490-9126
Phone(541) 490-9126
Organization SubpartNo
Authorized OfficialJohn PughPractice Manager · (360) 256-7455
Enumeration DateMarch 24, 2026
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1750229423 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13115 NE 4TH ST STE 250, Vancouver, WA 98684
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750229423, enumerated as an "organization" on March 24, 2026.
The provider is located at 13115 NE 4TH ST STE 250 VANCOUVER, WA 98684 and the phone number is (541) 490-9126.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
