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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Gary J Jacky, DMD

Dentist in Edmonds, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154380210

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Registry record

Entity type Individual (Type 1)
Name Mr. Gary J Jacky
Credential DMD
Sex Male
Practice address 7533 Olympic View Dr, Suite C, Edmonds, WA, 98026
Fax (425) 776-8173
Enumeration date Mar 18, 2006
Last updated in NPPES Jul 13, 2026

Taxonomy & licenses

122300000X Dentist Dental Providers · License DE00005902 (WA) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

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.

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Frequently asked questions

What is the NPI number for Gary Jacky?
The National Provider Identifier (NPI) for Gary Jacky is 1154380210, a Type 1 (individual) record in the CMS NPPES registry.
Where does Gary Jacky practice?
The practice location on file with NPPES is in Edmonds, WA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-13.