Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack D Jorgensen DMD Ps

Organization Dental Clinic/Center · NPI 1053413591

Jack D Jorgensen DMD Ps is a Dental Clinic/Center in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

7107 NE Vancouver Mall Dr Ste #D
Vancouver, WA 98661-8178
Phone: (360) 892-6555
Fax: (360) 892-4170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DE00009473 (WA)

Record details

NPI number1053413591
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Jorgensen — President · (360) 892-6555
Other names Advanced Dental Concepts
NPI enumeratedSeptember 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7107 Ne Vancouver Mall Dr, Ste. #D, Vancouver, WA 98661-8178

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