Individual provider Active NPI

Jenna Marie Macdonald, DMD

  • General Practice Dentistry
  • Silverdale, WA
National Provider Identifier
1497062152
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61676315 Issued in WA
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

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DDS105916CAMDDentist
61676315WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Washington Quirt Mongrain Gibree PC General Practice CurrentSince May 4, 2025 Accepting new patients
Anthony Hatch, DDS, Inc. General Practice PastSince Oct 20, 2024 Accepting new patients
David C. Houpt D.M.D. General Practice PastSince May 4, 2025 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.

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.

Verify at the official NPI Registry.