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

Jared Hawthorne, DMD

Individual provider Dentist · NPI 1043862279

Jared Hawthorne, DMD is a Dentist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2019
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

117 E 39th St
Vancouver, WA 98663-2229
Phone: (360) 694-7931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE61235268 (WA)

Record details

NPI number1043862279
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 9, 2019
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address117 E 39th St, Vancouver, WA 98663-2229

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