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

Jackson Van, DMD

Individual provider General Practice Dentistry · NPI 1083442164

Jackson Van, DMD is a General Practice Dentistry in Gladstone, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

20140 McLoughlin Blvd
Gladstone, OR 97027-2604
Phone: (971) 404-1374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12050 (OR)

Record details

NPI number1083442164
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 22, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address10952 Se Lenore St, Happy Valley, OR 97086-8789

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