OrganizationActive
Jack D Jorgensen DMD Ps
NPI 1053413591 · Dental Clinic/Center · Vancouver, WA
Jack D Jorgensen DMD Ps is a Dental Clinic/Center organization in Vancouver, WA (NPI 1053413591).
Provider details
- NPI number
- 1053413591
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Jorgensen, President(360) 892-6555
- License
- DE00009473 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7107 Ne Vancouver Mall Dr
Ste. #d
Vancouver, WA 98661-8178
Phone: (360) 892-6555
Fax: (360) 892-4170
Street-level locationGet directions
Mailing address
7107 Ne Vancouver Mall Dr
Vancouver, WA 98661-8178
Other names (DBA / former)
- Doing business as
- Advanced Dental Concepts
Registry dates
- Enumerated
- 2006-09-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jack D Jorgensen DMD Ps's NPI number?
- Jack D Jorgensen DMD Ps's National Provider Identifier (NPI) is 1053413591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack D Jorgensen DMD Ps?
- Jack D Jorgensen DMD Ps is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack D Jorgensen DMD Ps located?
- Jack D Jorgensen DMD Ps's practice location on file with NPPES is 7107 Ne Vancouver Mall Dr, Vancouver, WA 98661-8178.
- What is Jack D Jorgensen DMD Ps's phone number?
- The practice phone number listed in the NPPES registry for Jack D Jorgensen DMD Ps is (360) 892-6555.
- Who is the authorized official for Jack D Jorgensen DMD Ps?
- The authorized official listed on Jack D Jorgensen DMD Ps's NPPES record is Jack Jorgensen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack D Jorgensen DMD Ps's NPI active?
- Yes — Jack D Jorgensen DMD Ps's NPI (1053413591) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.