EID, JABER, JASSAR PLLC – Pediatric Dentistry, NPI 1063191245

EID, JABER, JASSAR PLLC is a healthcare provider. based in Longview, Washington. specializing in Pediatric Dentistry. The NPI Number for EID, JABER, JASSAR PLLC is 1063191245

Main info

Organization
Name
EID, JABER, JASSAR PLLC
NPI
1063191245
Phone
(360) 636-1900
Address
1717 OLYMPIA WAY STE 108
Authorized Official
REBECCA OCONNOR HR
Enumeration Date
14 July 2023
Last Update Date
14 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for EID, JABER, JASSAR PLLC

  • 1717 OLYMPIA WAY STE 108

    LONGVIEW, WA 986323929

    Phone: (360) 636-1900

    Fax: (360) 636-7317

    Type: Mailing

  • 926 S 348TH ST

    FEDERAL WAY, WA 980037021

    Phone: (360) 636-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98632)

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Reviews

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Frequently asked questions

Is there an official ID for EID, JABER, JASSAR PLLC in U.S. healthcare records?
The official identifier for EID, JABER, JASSAR PLLC is NPI 1063191245.
Is there an active status for EID, JABER, JASSAR PLLC?
For scheduling context, EID, JABER, JASSAR PLLC is shown as active in the registry.
How would a patient describe EID, JABER, JASSAR PLLC's focus?
For EID, JABER, JASSAR PLLC, the primary taxonomy reads as Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where in Washington is EID, JABER, JASSAR PLLC registered?
Use Longview, Washington as the headline location for EID, JABER, JASSAR PLLC here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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