Active NPI
Jenna Marie Macdonald, DMD
- General Practice Dentistry
- Silverdale, WA
National Provider Identifier
1497062152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61676315
- Practice address
- Old Town Dental
8745 Pacific Ave NW Suite 101
Silverdale, WA 98383 - Phone
- (360) 692-9437
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS105916 | CA | |
| General Practice Dentistry | 1223G0001X | 61676315 | WA | Primary |
Addresses
Primary practice location
Old Town Dental
8745 Pacific Ave NW Suite 101
Silverdale, WA 98383
Mailing address
11515 Bella Vista Ave NW Apt O404
Silverdale, WA 98383-0239
Phone (757) 619-9422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105916 | CA | MD | Dentist |
| 61676315 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Washington Quirt Mongrain Gibree PC | General Practice | Current | Accepting new patients |
| Anthony Hatch, DDS, Inc. | General Practice | Past | Accepting new patients |
| David C. Houpt D.M.D. | General Practice | Past | Accepting new patients |
Locations
8745 Pacific Ave NW
Ste 101
Silverdale, WA 98383
Phone (360) 692-9437
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Silverdale, WA
- NPI 1174281679
-
- General Practice Dentistry
- Silverdale, WA
- NPI 1538120720
-
- General Practice Dentistry
- San Diego, CA
- NPI 1598585549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1497062152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11515 BELLA VISTA AVE NW APT O404",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983830239",
"telephone_number": "757-619-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OLD TOWN DENTAL",
"address_2": "8745 PACIFIC AVE NW SUITE 101",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98383",
"telephone_number": "360-692-9437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS105916",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "61676315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.