Active NPI
West Vancouver Dental LLC
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1083562730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WEST VANCOUVER DENTAL LLC
- Practice address
- 117 E 39TH St
Vancouver, WA 98663-2229 - Phone
- (360) 694-7931
- Fax
- (360) 694-0722
- NPI assigned
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Hawthorne
- Title
- Dentist/Owner
- Phone
- (360) 694-7931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
117 E 39TH St
Vancouver, WA 98663-2229
Mailing address
117 E 39TH St
Vancouver, WA 98663-2229
Phone (360) 694-7931
National Provider Directory
National Provider DirectoryLocations
117 E 39th St
Vancouver, WA 98663
Phone (360) 694-7931
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1083562730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E 39TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632229",
"telephone_number": "360-694-7931",
"fax_number": "360-694-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E 39TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632229",
"telephone_number": "360-694-7931",
"fax_number": "360-694-0722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST VANCOUVER DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "HAWTHORNE",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "360-694-7931"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.