Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

M Jack Wiley, DDS

Individual provider General Practice Dentistry · NPI 1720152960

M Jack Wiley, DDS practises General Practice Dentistry in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
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

1700 NW 56th St
Seattle, WA 98026 Not confirmed with CMS for 19 years — call before visiting
Phone: (206) 783-0400
Fax: (206) 783-1929
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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 6147 (WA)

Record details

NPI number1720152960
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 8, 2007

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