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

Jackie Dong, DDS

Individual provider Dentist · NPI 1770253585

Jackie Dong, DDS is a Dentist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2648 International Blvd Ste 602
Oakland, CA 94601-1547
Phone: (510) 532-8972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 106510 (CA)

Record details

NPI number1770253585
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address2648 International Blvd Ste 602, Oakland, CA 94601-1547

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