What is Jack Vandyke's NPI number?

Jack Vandyke's National Provider Identifier (NPI) is 1417161555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Vandyke's specialty?

Jack Vandyke is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Jack Vandyke located?

Jack Vandyke's practice location on file with NPPES is 640 Georig St, Woodland, WA 98674.

What is Jack Vandyke's phone number?

The practice phone number listed in the NPPES registry for Jack Vandyke is (360) 225-9494.

Is Jack Vandyke's NPI active?

Yes — Jack Vandyke's NPI (1417161555) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jack Vandyke, DMD

NPI 1417161555 · Dentist · Woodland, WA

Jack Vandyke, DMD is a Dentist provider in Woodland, WA (NPI 1417161555).

Provider details

NPI number: 1417161555
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 4991 (WA)

Specialties & taxonomies

DentistPrimary122300000XLicense 4991 (WA)
Dental Providers

Profile Score

Detailed profile(89/100 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

640 Georig St

Woodland, WA 98674

Phone: (360) 225-9494

Fax: (360) 225-9495

Street-level locationGet directions

More WA providers

Mailing address

Po Box 1970