MR. GARY J JACKY (DMD) – Dentist, NPI 1154380210

MR. GARY J JACKY (DMD) is a healthcare provider. based in Edmonds, Washington. specializing in Dentist. They hold the professional credentials DMD. They hold a License No. DE00005902 (WA). The NPI Number for MR. GARY J JACKY (DMD) is 1154380210

Main info

Male
Name
MR. GARY J JACKY (DMD)
NPI
1154380210
Phone
(425) 670-2392
Address
7533 OLYMPIC VIEW DR
Enumeration Date
18 March 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GARY J JACKY (DMD)

  • 7533, Olympic View Drive, Perrinville, Edmonds, Snohomish County, Washington, 98026, United States

    SUITE C

    EDMONDS, WA 980265524

    Phone: (425) 670-2392

    Fax: (425) 776-8173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Dentsply Sirona Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dentsply Sirona Inc$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

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

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 98026)

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Reviews

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Frequently asked questions

What number should I use to identify MR. GARY J JACKY (DMD) for billing?
Administrative and clinical systems typically use NPI 1154380210 for MR. GARY J JACKY (DMD).
Quick check: is MR. GARY J JACKY (DMD) active?
Public NPPES data shows MR. GARY J JACKY (DMD) with an active NPI status right now.
Which specialty label fits MR. GARY J JACKY (DMD)?
NPPES ties MR. GARY J JACKY (DMD) to Dentist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. GARY J JACKY (DMD) tied to Edmonds, Washington?
If you are local to Edmonds, Washington, MR. GARY J JACKY (DMD) may be relevant to your search.
Can I export MR. GARY J JACKY (DMD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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