Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174505002 Individual Practitioner Male Practitioner

Dr. Jack R Ashlock , DDS

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Ashlock, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 6821 N COUNTRY HOMES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6821 N Country Homes Blvd
Ste 202

Spokane, WA 992084372

Telephone 5093278681
Fax 5093278562
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 4470

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5397203 (WA)
Commercial Insurance / Payer ID United Concordia Provider
591231 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1265709307

Doctor of Dental Surgery

Dr. Bryan Correll , DDS

Dentist - General Practice

NPI 1336153501

Doctor of Dental Surgery

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 6821 N COUNTRY HOMES BLVD, STE 202, SPOKANE, WA 992084372 (Tel: 5093278681)

📍
Updated Business Mailing Address July 09, 2007

Registered at 12105 N RIVERWOOD DR, SPOKANE, WA 992183500 (Tel: 5094682068)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JACK ASHLOCK, DDS

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

Dentist (License #4470 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2005

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: 1174505002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

12105 N Riverwood Dr

Spokane, WA 992183500

Phone: 5094682068

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.