OrganizationActive
Jab Dental LLC
NPI 1164384442 · Dentist · Wilsonville, OR
Jab Dental LLC is a Dentist organization in Wilsonville, OR (NPI 1164384442).
Provider details
- NPI number
- 1164384442
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jason Bajuscak, Owner Dentist(541) 852-5812
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
30045 Sw Parkway Ave
Wilsonville, OR 97070-9735
Phone: (503) 682-2455
Fax: (503) 570-8522
Street-level locationGet directions
Mailing address
30045 Sw Parkway Ave
Wilsonville, OR 97070-9735
Registry dates
- Enumerated
- 2025-11-25
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Jab Dental LLC's NPI number?
- Jab Dental LLC's National Provider Identifier (NPI) is 1164384442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jab Dental LLC?
- Jab Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jab Dental LLC located?
- Jab Dental LLC's practice location on file with NPPES is 30045 Sw Parkway Ave, Wilsonville, OR 97070-9735.
- What is Jab Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Jab Dental LLC is (503) 682-2455.
- Who is the authorized official for Jab Dental LLC?
- The authorized official listed on Jab Dental LLC's NPPES record is Jason Bajuscak, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jab Dental LLC's NPI active?
- Yes — Jab Dental LLC's NPI (1164384442) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.