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MAC JACKSON III DMD PLLC
NPI 1750229423
Clinic/Center - Dental in Vancouver, WA

Active since March 24, 2026
13115 NE 4TH ST STE 250, VANCOUVER, WA 98684(541) 490-9126 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2026, Mar 24, 2026 (2 updates tracked since 2026).

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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 dental in Vancouver, Washington and active in the NPI registry since March 2026. The organization lists John Pugh, Practice Manager, as its authorized official.Information from the official NPPES registry record, last updated May 8, 2026.

NPPES Registry Identity

NPI1750229423
Entity TypeOrganization
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, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1750229423 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Clinic/Center · Dental

Taxonomy 261QD0000X · Ambulatory Health Care Facilities

13115 NE 4TH ST STE 250, Vancouver, WA 98684
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Last updated in NPPES on May 8, 2026 · 2 updates tracked since enumeration.

Reviews for MAC JACKSON III DMD PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

SHAUNA WEIL RDH
Dental Hygienist
13115 NE 4TH ST STE 250
VANCOUVER, WA 98684
Clark County (360) 256-7455

Frequently Asked Questions

What is MAC JACKSON III DMD PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1750229423, enumerated as an "organization" on March 24, 2026.

Where is the provider located?

The provider is located at 13115 NE 4TH ST STE 250 VANCOUVER, WA 98684 and the phone number is (541) 490-9126.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.