IndividualActive
Jeffrey Jacky, DENTURIST LD
NPI 1356791677 · Denturist · Beaverton, OR
Provider details
- NPI number
- 1356791677
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- DENTURIST LD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DTDO709602 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
4925 Sw Griffith Dr
Beaverton, OR 97005-2923
Phone: (855) 433-6825
Street-level locationGet directions
Mailing address
6950 Ne Campus Way
Hillsboro, OR 97124-5611
Additional practice locations (2)
- 8931 Se Foster RdPortland, OR 97266-4661Phone: (855) 433-6825
- 3490 Lancaster Dr NeSalem, OR 97305-1356Phone: (855) 433-6825
Registry dates
- Enumerated
- 2016-06-17
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.