Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649369802 Individual Practitioner Male Practitioner

Dr. Douglass Jackson , DMD

Dentist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Douglass Jackson, DMD is a registered healthcare professional specializing in Dentist in Seattle, WA. Practice services are available at 1959 NE PACIFIC ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St
Hsb-B221

Seattle, WA 981950001

Telephone 2066852937
Fax 2066168577
Associated Practice Facility / Clinic
🏢 University Of Washington Facility NPI 1326002049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
436 Specialists

Practicing in Seattle, WA (2853 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DF30000048

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5029897 (WA)
Commercial Insurance / Payer ID L And I
143782 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1033208384

Doctor of Dental Surgery, MSD

NPI 1174048623

Doctor of Dental Surgery

Dr. Ssu-Kuang Chen , DDS

Dentist - Oral and Maxillofacial Radiology

NPI 1215026414

Doctor of Dental Surgery

NPI 1245329416

Doctor of Dental Surgery, MSD

Doctor of Dental Medicine, MSD, Doctor of Philosophy (Ph.D.)

NPI 1417315490

Doctor of Dental Surgery, MSD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1959 NE PACIFIC ST, HSB-B221, SEATTLE, WA 981950001 (Tel: 2066852937)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1959 NE PACIFIC ST, PO BOX 357131, SEATTLE, WA 981950001 (Tel: 2066852937)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DOUGLASS JACKSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DF30000048 in WA)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649369802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

1959 Ne Pacific St, Po Box 357131

Seattle, WA 981950001

Phone: 2066852937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.