OrganizationActive
Mac Jackson III DMD PLLC
NPI 1750229423 · Dental Clinic/Center · Vancouver, WA
Mac Jackson III DMD PLLC is a Dental Clinic/Center organization in Vancouver, WA (NPI 1750229423).
Provider details
- NPI number
- 1750229423
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Pugh, Practice Manager(360) 256-7455
Specialties & taxonomies
Ambulatory Health Care Facilities
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
13115 Ne 4th St Ste 250
Vancouver, WA 98684-5960
Phone: (541) 490-9126
Street-level locationGet directions
Mailing address
13115 Ne 4th St Ste 250
Vancouver, WA 98684-5960
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is Mac Jackson III DMD PLLC's NPI number?
- Mac Jackson III DMD PLLC's National Provider Identifier (NPI) is 1750229423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mac Jackson III DMD PLLC?
- Mac Jackson III DMD PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mac Jackson III DMD PLLC located?
- Mac Jackson III DMD PLLC's practice location on file with NPPES is 13115 Ne 4th St Ste 250, Vancouver, WA 98684-5960.
- What is Mac Jackson III DMD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mac Jackson III DMD PLLC is (541) 490-9126.
- Who is the authorized official for Mac Jackson III DMD PLLC?
- The authorized official listed on Mac Jackson III DMD PLLC's NPPES record is John Pugh, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mac Jackson III DMD PLLC's NPI active?
- Yes — Mac Jackson III DMD PLLC's NPI (1750229423) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.