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

Marcus K Jackson, DMD

Individual provider Dentist · NPI 1063022499

Marcus K Jackson, DMD is a Dentist in Ellensburg, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
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

521 E Mountain View Ave
Ellensburg, WA 98926-3865
Phone: (509) 933-2400
Fax: (509) 933-4804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE61086594 (WA)

Record details

NPI number1063022499
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address501 S 5th Ave, Yakima, WA 98902-3550

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