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JACKIE DONG DDS
NPI 1770253585
Dentist in Oakland, CA

Active since September 14, 2021
2648 INTERNATIONAL BLVD STE 602, OAKLAND, CA 94601(510) 532-8972 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 20, 2024, Sep 14, 2021 (2 updates tracked since 2021).

About Jackie Dong Dds NPPES

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

JACKIE DONG DDS (NPI 1770253585) is an individual dentist in Oakland, California, licensed in California (106510) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1770253585
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJACKIE DONGCredential: DDS
Location Address2648 INTERNATIONAL BLVD STE 602Oakland, CA 94601-1547
Mailing Address2648 International Blvd Ste 602Oakland, CA 94601-1547 · (510) 532-8972
Phone(510) 532-8972
Sole ProprietorYes
Enumeration DateSeptember 14, 2021
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1770253585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 106510
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.
2648 INTERNATIONAL BLVD STE 602, Oakland, CA 94601
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JACKIE DONG DDS INC.
Dentist
2648 INTERNATIONAL BLVD STE 602
OAKLAND, CA 94601
Alameda County (917) 650-6820

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 Jackie Dong's NPI number?

The NPI number for Jackie Dong is 1770253585. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Jackie Dong located?

Jackie Dong practices at 2648 International Blvd Ste 602, Oakland, CA 94601. The listed phone number is (510) 532-8972.

What is Jackie Dong's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackie Dong was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.