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

Jacob Groom, DMD

Individual provider General Practice Dentistry · NPI 1902476682

Jacob Groom, DMD is a General Practice Dentistry in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7012 NE 40th St
Vancouver, WA 98661-3052
Phone: (360) 254-5254
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE61203036 (WA)

Record details

NPI number1902476682
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address4530 Nw Walden St, Camas, WA 98607-9130

Other providers in Vancouver