Jackson Van, DMD

Jackson Van is a General Practice Dentistry provider (Dentist) practicing in Gladstone, OR, registered in the NPPES registry with NPI 1083442164 since 2024. The credential DMD stands for Doctor of Medicine in Dentistry.

✓ Active NPI ✓ Valid NPI checksum Sole proprietor

NPI	1083442164
Entity type	Individual (Type 1)
Name	Jackson Van
Credential	DMD
Sex	Male
Practice address	Gladstone, OR, 97027
Phone	9714041374
Enumeration date	2024-07-22
Last updated in NPPES	2024-11-18

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	D12050	OR

DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Copy-ready billing details

Provider: Jackson Van, DMD
NPI: 1083442164
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: Gladstone, OR, 97027

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1376036764	Gladstone Smiles Dentistry PC	Organization	Dentist	Gladstone, OR
1821853193	Willow Dental Group LLC	Organization	General Practice Dentistry	Gladstone, OR
1164262648	Honeymint Pediatric Dentistry - Gladstone	Organization	Pediatric Dentistry	Gladstone, OR

Verify this record

Cross-check NPI 1083442164 against the authoritative CMS record: view Jackson Van on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What specialty is Jackson Van?

Jackson Van is registered in NPPES with the primary taxonomy of General Practice Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-18.