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

Mac Jackson III DMD PLLC

Organization Dental Clinic/Center · NPI 1750229423

Mac Jackson III DMD PLLC is a Dental Clinic/Center in Vancouver, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13115 NE 4th St Ste 250
Vancouver, WA 98684-5960
Phone: (541) 490-9126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1750229423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Pugh — Practice Manager · (360) 256-7455
NPI enumeratedMarch 24, 2026
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address13115 Ne 4th St Ste 250, Vancouver, WA 98684-5960

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