Ray Lawrence Jackson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DENT.DE.70137351 Issued in WA

Practice address

3150 W Government Way Ste 1a
Seattle, WA 98199-1461

Phone

(206) 402-3904

NPI assigned

Aug 22, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rayj Lawrence Jackson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1376459966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 W GOVERNMENT WAY STE 1A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991461",
            "telephone_number": "206-402-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 W GOVERNMENT WAY STE 1A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991461",
            "telephone_number": "206-402-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4540 Sand Point Way NE Ste 340",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053941",
            "country_code": "US",
            "telephone_number": "206-985-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RAY",
        "middle_name": "LAWRENCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.70137351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYJ",
            "last_name": "JACKSON",
            "middle_name": "LAWRENCE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mimi C Jackson, DC
• Molly Blackley Jackson, MD
• Myles Jackson
• Nicole R Jackson, MD, MPH
• Olivia Jackson, BA
• Renee Jackson, RT
• Rhianna Jackson
• Richard A Jackson, MB CHB FRCA
• Sara L Jackson, M.D.
• Sean Michael Jackson, MA, LMHC

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.